Table 1.
Complication | Prevention/Management | Author | Journal and Year of Publication |
---|---|---|---|
Lead dislodgment | Pouch re-opening and lead reposition in early dislodgment New lead implementation after lead extraction in late dislodgment |
Arijit Dasgupta et al. [28] |
American Journal of Kidney Diseases (2007) |
Implantation site hematoma | Withholding or reversing antiplatelet and anticoagulation medications in patients with low risk for thromboembolic events applying absorbable collagen hemostats, thrombin patches, gelatin foams, and pressure dressings to incision sites | Christine Tompkins et al. [20] | Cardiovascular Electrophysiology (2011) |
Central vein stenosis | Left subclavian or cephalic vein approach Percutaneous balloon angioplasty Removal of CIED leads with stent insertion Stenting the SVC over the CIED leads |
Theodore F. Saad et al. [29] | Seminars in Dialysis (2012) |
CIED infections | Epicardial CIED leads re-establishment of the AV access and removal of the venous catheter. Wearable defibrillators Avoiding the combination of long-term venous hemodialysis catheters and CIEDs |
Theodore F. Saad et al. [29] | Seminars in Dialysis (2012) |
Central vein stenosis | Epicardial CIED leads Use of subcutaneous ICDs if possible |
Arif Asif et al. [42] | Seminars in Dialysis (2012) |
CIED infections | Subcutaneous ICDs Epicardial CIED leads No entrapment of a lead by a bare-metal stent or stent graft Percutaneous lead extraction Peritoneal dialysis |
Arif Asif et al. [42] | Seminars in Dialysis (2012) |
CIED infections | Complete lead displacement Medical therapy in bacteremia |
Avirup Guha, et al. [40] |
Heart Rhythm (2015) |
Central vein stenosis | Subcutaneous ICDs PTA and stent placement |
Rajiv K. Dhamija et al. [47] | American Journal of Kidney Diseases (2015) |
ESRD, End-stage Renal Disease: CIED, Cardiac implantable electronic device; ICD, Implantable cardioverter-defibrillator; PTA, Percutaneous transluminal angioplasty.