Central venous catheter fracture during pacemaker lead extraction

Slides:

Advertisements

Similar presentations

Implantation of the subcutaneous implantable cardioverter-defibrillator with retroperitoneal generator placement in a child with hypoplastic left heart.

Advertisements

Central venous catheter fracture during pacemaker lead extraction

Ventricular tachycardia in iron man

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

Alexander Rusanov, MD, Henry M. Spotnitz, MD

Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey.

A new approach for implantation of a cardiac resynchronization therapy–defibrillator in a patient with bilateral pectoral neurostimulation devices Saori.

Erroneous shock by an AED: Importance of obtaining AED tracing to prevent inappropriate ICD implantation Brian J. Cross, MD, Mark S. Link, MD, FHRS

Management of a superinfected pyoderma gangrenosum after pacemaker implant Halim Marzak, MD, Jean-Jacques Von Hunolstein, MD, Dan Lipsker, MD, PhD, Michel.

Implantation of a cardiac resynchronization therapy device using the anchor balloon technique in a patient with a tortuous coronary sinus branch Yu Kumagai,

Malignant transformation of a chronically infected implantable cardioverter-defibrillator pocket Donna Kang, MD, Khuyen Do, MD, Jonathan Nattiv, MD,

Extraction of a CardioFix neurostimulator with concomitant laser-assisted lead and intracardiac cardiac defibrillator extraction due to Staphylococcus.

A case of paroxysmal atrioventricular block–induced cardiac arrest

Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia Nelson Chavarria, MD, Seth.

Combination of a leadless pacemaker and subcutaneous defibrillator: First in-human report Blandine Mondésert, MD, Marc Dubuc, MD, FHRS, Paul Khairy,

Drug-induced acute pneumonitis following initiation of flecainide therapy after pulmonary vein isolation ablation in a patient with mitral stenosis and.

Unusual case of late dislodgment of a superior vena cava coil

Permanent His bundle pacing at the time of atrioventricular node ablation: A 3- dimensional mapping approach Sukit Ringwala, MD, MPH, Bradley P. Knight,

Anne Barnett, PA-C, Lee Eckhardt, MD, FHRS, Miguel A. Leal, MD, FHRS

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient Isla McClelland, MD,

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Darren C. Tsang, BS, Roger G. Carrillo, MD, MBA, FHRS

Increased threshold in nonselective His-bundle pacing suspected to be caused by amiodarone JoonHyuk Kim, MD, Seth Goldbarg, MD, FHRS, Steven Leung, MD,

Ian E. Mann, MBBS, MRCP, Oliver R. Segal, MD, FRCP, FHRS

‘Runaway’ vagal nerve stimulator: a case of cyclic asystole

Fracture and retrieval of an Achieve circular mapping catheter in and from a pulmonary vein during cryoballoon ablation for atrial fibrillation Richard.

“Closing the loop” on palpitations

Substernal implantation of a subcutaneous implantable cardioverter-defibrillator in a patient with preexisting Hemodialysis Reliable Outflow graft Thomas.

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Daniel P. Morin, MD, MPH, FACC, FHRS HeartRhythm Case Reports

Jeffrey Ho, MD, Jordan M. Prutkin, MD, MHS, FHRS

Gordon Ho, MD, Kurt S. Hoffmayer, MD, PharmD, FHRS, Christopher T

Use of a cerebral protection device for the laser extraction of a pacemaker lead traversing a patent foramen ovale James L. Harrison, MA, PhD, MRCP,

Cardiac contractility modulation therapy: Are there superresponders?

Termination of anticoagulation therapy at 45 days after concomitant atrial fibrillation catheter ablation and left atrial appendage occlusion resulting.

Christian Steinberg, MD, Danny Dvir, MD, Andrew D

Sing-Chien Yap, MD, PhD, Corstiaan A

Pneumopericardium after epicardial catheter ablation detected with “bruit de moulin” Rintaro Hojo, MD, Seiji Fukamizu, MD, PhD, Marina Arai, MD, Dai Inagaki,

Mindy Vroomen, MD, Mark La Meir, MD, Harry J

Stephen A. Howard, PhD, Ryan P. Goff, PhD, David G

Right-sided subcutaneous implantable cardioverter-defibrillator placement in a patient with dextrocardia, tetralogy of Fallot, and conduction disease

Successful use of bivalirudin in place of heparin infusion for pulmonary vein isolation using a cryoballoon catheter in a patient with heparin allergy

Transvenous approach to pacemaker lead implantation for sinus node dysfunction after extracardiac lateral tunnel Fontan conduit placement Edward O’Leary,

Daniel W. Nelson, BS, Caroline Vloka, BA, Jule Wetherbee, MD

Successful implantation of a subcutaneous cardiac defibrillator in a patient with a preexisting deep brain stimulator Yousef Bader, MD, Jonathan Weinstock,

Use of Biotronik closed loop pacemaker to treat recurrent syncope in pediatric patient with dysautonomia Jennfier Shortland, MD, Orhan Uzun, MD, Deirdre.

Direct visualization of the removal of chronically implanted pacing leads from an unfixed human cadaver Mikayle A. Holm, BSE, Lars M. Mattison, BS, Pierce.

HeartRhythm Case Reports

Abdominal implantable cardioverter-defibrillator placement in a patient requiring bilateral chest radiation therapy Ankur A. Karnik, MD, FHRS, CCDS,

Emergency left arial appendage clipping after percutaneous pulmonary vein isolation in a patient with a partial anomalous pulmonary venous connection

Supraspinatus pocket: An alternative pacemaker location for patients with no prepectoral access Guillaume Abehsira, MD, Françoise Hidden-Lucet, MD, Estelle.

Nothing inside the heart – Combining epicardial pacing with the S-ICD

Implantation of the subcutaneous implantable cardioverter-defibrillator with retroperitoneal generator placement in a child with hypoplastic left heart.

Systemic infection due to subcutaneous implantable cardioverter-defibrillator implantation: Importance of early recognition and treatment of device pocket-related.

Carratalà J. Clinical Microbiology and Infection

Extraction of a Micra Transcatheter Pacing System: First-in-human experience Saima Karim, DO, Medhat Abdelmessih, MD, Mark Marieb, MD, FHRS, Eric Reiner,

Nanostim leadless pacemaker system: A longer waiting period after active fixation may reduce unnecessary repositioning Hiro Kawata, MD, PhD, Pranav M.

A very rare abnormal course of the thoracic venous system: Long journey to the right ventricle Yao Chang Wang, MBBS, An Ning Feng, MD, Wei Hsian Yin,

Abdul R. Mourad, MD, Michael H. Kim, MD, FHRS, Malcolm M

Intravascular fracture of the Impella device during removal

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Periesophageal vagal nerve injury following catheter ablation of atrial fibrillation: A case report and review of the literature Sandeep A. Saha, MD,

Cardiac implantable electronic device malfunction after deceleration injury without obvious chest trauma Amr F. Barakat, MD, Brian Cross, MD, Jonathan.

Trans-Fontan baffle placement of an endocardial systemic ventricular pacing lead Elizabeth DeWitt, MD, Ryan Callahan, MD, Elizabeth Blume, MD, Audrey.

Late-onset asystolic episodes in a patient with a vagal nerve stimulator Theresa Ratajczak, MD, Robert Blank, MD, Analkumar Parikh, MD, Abdul Wase, MD,

Mobile subcutaneous implantable cardioverter-defibrillator leads to oversensing and inappropriate shocks Omid Kiamanesh, MD, Jacob M. Larsen, MD, PhD,

A true case of wandering pacemaker

Unique clinical presentation and management of lead-stent abrasion

Orthostatic increase in defibrillation threshold leading to defibrillation failure and prolonged cardiac arrest in a sitting position: Lessons from a.

Partial extravenous course of cardiac pacemaker leads

Presentation transcript:

Central venous catheter fracture during pacemaker lead extraction Jacques Rizkallah, MD, Glen Sumner, MD, FRCPC, Robert Sheldon, MD, PhD, FRCPC, FHRS HeartRhythm Case Reports Volume 2, Issue 1, Pages 11-13 (January 2016) DOI: 10.1016/j.hrcr.2015.07.006 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Chest radiograph depicting a peripherally inserted central venous catheter (white arrow) through the left brachial vein. HeartRhythm Case Reports 2016 2, 11-13DOI: (10.1016/j.hrcr.2015.07.006) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Chest radiograph depicting the fractured peripherally inserted central venous catheter following lead extraction (white arrows identify the fractured catheter with the distal now embedded deep into the right atrium). Also visible in this radiograph is a new temporary pacing lead that was inserted via direct axillary venous puncture access in a location outside and above the infected pacemaker pocket; the temporary pacing lead was connected to the now-externalized old pacemaker generator that was secured to the skin outside of the infected pacemaker pocket. This temporary pacing lead was necessary for the duration of antibiotic therapy prior to the new system implant because the patient was pacemaker dependent; it was placed on the same side as the infection to avoid vascular injury and localized infection in the contralateral venous access site where the new permanent pacemaker system will be implanted when the infection resolves. HeartRhythm Case Reports 2016 2, 11-13DOI: (10.1016/j.hrcr.2015.07.006) Copyright © 2016 Heart Rhythm Society Terms and Conditions