scholarly journals Hemoptysis after Subclavian Vein Puncture for Pacemaker Implantation: Importance of Wire-Guided Venous puncture

2012 ◽  
Vol 5 ◽  
pp. CCRep.S10006 ◽  
Author(s):  
Antoine Kossaify ◽  
Nayla Nicolas ◽  
Pierre Edde

We report a case of hemoptysis occurring after subclavian vein puncture for pacemaker implantation. Hemoptysis related to injury of lung parenchyma is a rare complication of subclavian vein access and is usually self limited, but can affect prognosis in critically ill patients. Venogram-guided or even better wire-guided venous puncture allow safe access to the subclavian vein in difficult cases. A review of the pertinent literature is also presented.

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Hiroyuki Tokue ◽  
Azusa Tokue ◽  
Hideo Morita ◽  
Yoshito Tsushima

Subclavian vein puncture is a relatively fast and safe technique to access the right heart for placement of pacemaker leads. Hemothorax related to injury of the pulmonary artery (PA) is a rare complication of subclavian vein access but can be life-threatening. We report a case of hemothorax occurring after subclavian vein puncture for pacemaker implantation. No cases of transcatheter arterial embolization for PA injury secondary to pacemaker implantation have been reported. Understanding of this rare complication after pacemaker implantation along with its specific clinical presentation may lead to early diagnosis and intervention.


Heart ◽  
2012 ◽  
Vol 98 (Suppl 1) ◽  
pp. A35.1-A35
Author(s):  
E L Darlington ◽  
D Rittoo ◽  
B Patel ◽  
K Choi

2000 ◽  
Vol 14 (3) ◽  
pp. 203-204 ◽  
Author(s):  
S. Aggarwal ◽  
P. Hari ◽  
A. Bagga ◽  
S.N. Mehta

2008 ◽  
Vol 9 (12) ◽  
pp. 1271-1273 ◽  
Author(s):  
Giuseppe Santarpia ◽  
Berardo Sarubbi ◽  
Michele DʼAlto ◽  
Emanuele Romeo ◽  
Raffaele Calabrò

1995 ◽  
Vol 6 (4) ◽  
pp. 619-622 ◽  
Author(s):  
Paul F. Jaques ◽  
William E. Campbell ◽  
Siobhan Dumbleton ◽  
Matthew A. Mauro

Author(s):  
Harish Neelamraju Lakshmi ◽  
Mohit Sharma ◽  
Abhishek Jain ◽  
Ketul Puj ◽  
Dipin Jayaprakash ◽  
...  

2007 ◽  
Vol 11 (3) ◽  
pp. 149-150
Author(s):  
P. Jain ◽  
J.C. Muthusami ◽  
J.P. Raj* ◽  
P. Gaikwad ◽  
J. Rajinikanth ◽  
...  

EP Europace ◽  
2017 ◽  
Vol 19 (12) ◽  
pp. 2001-2006 ◽  
Author(s):  
Fabien Squara ◽  
Julien Tomi ◽  
Didier Scarlatti ◽  
Guillaume Theodore ◽  
Pamela Moceri ◽  
...  

2014 ◽  
Vol 27 (5) ◽  
pp. 652
Author(s):  
Davide Moreira ◽  
Luís Ferreira dos Santos ◽  
António Costa ◽  
Luís Nunes ◽  
Jorge Oliveira Santos

<p>The authors present a case of Twiddler’s syndrome, a rare complication after pacemaker implantation, first described in 1968. The article is complemented by an approach to the etiology and manifestations of this entity.</p><p><br /><strong>Keywords:</strong> Twiddler Syndrome; Pacemaker, Artificial/adverse effects; Equipment Failure.</p>


2019 ◽  
Vol 3 (4) ◽  
pp. 1-4
Author(s):  
Darshan Krishnappa ◽  
Scott Sakaguchi ◽  
Ganesh Kasinadhuni ◽  
Venkatakrishna N Tholakanahalli

Abstract Background Subclavian venous spasm is an uncommon complication during permanent pacemaker implantation. The exact aetiology of subclavian venous spasm is not clear but has been suggested to be due to either mechanical irritation of the vein during needle puncture or due to chemical irritation from contrast injection. Here, we report a case of an unyielding subclavian vein valve that impeded guidewire advancement and the repeated guidewire manipulation led to venous spasm. Case summary A 45-year-old woman with a history of surgical repair of Tetrology of Fallot in childhood presented with symptomatic bifascicular block and underwent a permanent pacemaker implantation. A subclavian venogram done prior to the procedure showed a prominent valve in the distal portion of the vein. Following venous puncture, guidewire advancement was impeded by the prominent valve. The resulting guidewire manipulation led to subclavian venous spasm necessitating a medial subclavian venous puncture and access. Discussion Prolonged mechanical irritation of the vein during pacemaker implantation may lead to venous spasm impeding pacemaker implantation. Early identification of an impeding valve and obtaining access medial to the valve may help prevent this uncommon complication.


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