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Pneumomediastinum and subcutaneous emphysema from pacemaker placement
1Division of Pulmonary and Critical Care Medicine, St. Louis University Health Sciences Center, 3635 Vista Ave. at Grand Blvd, PO Box 15250, St. Louis, MO 63110-0250, USA. espiritu@slu.edu
Pacing and Clinical Electrophysiology : PACE
|July 14, 2001
Abstract:
Percutaneous insertion of permanent pacemaker leads through the subclavian vein is an alternative to the cephalic vein approach. A rare occurrence and successful conservative management of extensive pneumomediastinum and subcutaneous emphysema without concomitant pneumothorax resulting from permanent transvenous pacemaker insertion in an 80-year-old man with syncope and arrhythmia is reported.