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Fever and neck pain after pacemaker lead extraction: A case report

Shao-Xian Wang1, Jian Bai2, Rui Ma2

  • 1Department of Cardiology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing 210008, Jiangsu Province, China.

World Journal of Clinical Cases
|August 20, 2019
PubMed
Abstract

Insights

Pacemaker lead extraction can cause venous thrombosis (VT), a complication often misdiagnosed. Consider thrombosis in patients with post-extraction pain and fever.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Venous thrombosis (VT) is a known complication of pacemaker lead extraction.
  • Clinical presentation can be subtle, leading to delayed diagnosis.

Observation:

  • A 66-year-old woman presented with fever and migratory pain post-pacemaker lead extraction.
  • Symptoms were initially misattributed to surgical trauma.
  • Imaging confirmed deep venous thrombosis and thrombophlebitis.

Findings:

  • Deep venous thrombosis developed after transvenous lead extraction.
  • Thrombophlebitis presented as fever and migratory pain, mimicking other conditions.
  • Early diagnosis and anticoagulation are crucial.

Implications:

  • Clinicians should consider venous thrombosis in patients experiencing unexplained pain and fever after pacemaker lead extraction.
  • Prompt diagnostic workup, including imaging, is essential.
  • Anticoagulant therapy can effectively manage this complication.
Keywords:
AnticoagulantsCase reportFeverLead extractionNeck painVenous thrombosis

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