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Related Experiment Videos

Piercing the left lung with a pacemaker lead, an uncommon complication.

A A Hassan, J Widdershoven, M A Molenaar

    Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
    |February 20, 2015
    PubMed
    Summary

    Percutaneous pacemaker lead insertion can lead to lung puncture, a rare but preventable complication. This risk is heightened in obese patients following direct subclavian vein puncture.

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    Area of Science:

    • Cardiology
    • Medical Devices
    • Interventional Procedures

    Background:

    • Percutaneous insertion of pacemaker leads is a common cardiovascular procedure.
    • Despite its general safety, the procedure carries a notable complication rate.
    • Complications can range from minor issues to severe, life-threatening events.

    Purpose of the Study:

    • To report an uncommon and avoidable complication associated with pacemaker lead insertion.
    • To highlight the specific risk of lung perforation during the procedure.
    • To emphasize the importance of patient factors and technique in preventing adverse events.

    Main Methods:

    • Case report detailing an instance of pacemaker lead misplacement.
    • Focus on a patient with obesity undergoing direct subclavian vein puncture.
    Keywords:
    haemothoraxpacemaker complicationpneumothoraxsubclavian vein puncture

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  • Review of procedural steps and potential points of failure.

    • Main Results:

    • The pacemaker lead inadvertently pierced the lung.
    • This complication occurred in the context of direct subclavian vein puncture in an obese patient.
    • The event was deemed uncommon and avoidable with careful technique.

    Conclusions:

    • Lung perforation is a rare but significant risk during percutaneous pacemaker lead insertion.
    • Obesity and direct subclavian vein puncture may increase the risk of this complication.
    • Adherence to meticulous technique and awareness of patient-specific factors are crucial for prevention.