Potential compression neuropathy of the femoral nerve caused by the delivery sheath of a transcatheter leadless pacemaker Masako Baba, MD, Kentaro Yoshida,

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Presentation transcript:

Potential compression neuropathy of the femoral nerve caused by the delivery sheath of a transcatheter leadless pacemaker Masako Baba, MD, Kentaro Yoshida, MD, Koji Yamada, RT, Noriyuki Takeyasu, MD, Akihiko Nogami, MD HeartRhythm Case Reports Volume 5, Issue 6, Pages 317-320 (June 2019) DOI: 10.1016/j.hrcr.2019.03.003 Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 1 The Micra sheath (Medtronic, Minneapolis, MN) and femoral venography. The contrast was injected from the left femoral vein (closed arrows). This fluoroscopic view suggests that the Micra sheath (open arrow) forcibly straightened the right femoral vein. HeartRhythm Case Reports 2019 5, 317-320DOI: (10.1016/j.hrcr.2019.03.003) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 2 The region of pain, as shown by the black line, is distributed along the sensory area of L2 and L3. The puncture site was outside the region of pain and did not appear to be swollen. HeartRhythm Case Reports 2019 5, 317-320DOI: (10.1016/j.hrcr.2019.03.003) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 3 Anatomy of the bilateral femoral veins as depicted by 3-dimensional computed tomography. The left anterior oblique (LAO)/CAUDAL view clearly shows the strongly curved femoral veins. The long-axis diameter of the right common femoral vein was 10.7 mm. AP = anteroposterior. HeartRhythm Case Reports 2019 5, 317-320DOI: (10.1016/j.hrcr.2019.03.003) Copyright © 2019 Heart Rhythm Society Terms and Conditions