Pacemaker complications

2018 ◽  
pp. 77-88 ◽  
Author(s):  
Jonathan Timperley
Keyword(s):  
Pacemaker Implantation ◽  
Venous Access ◽  
Late Complications ◽  
Warning Signs ◽  
Manufacturing Defects ◽  
Procedural Complications ◽  
Twiddler’S Syndrome ◽  
Management Techniques ◽  
Air Embolus ◽  
Pacemaker Complications

This chapter acknowledges that although pacemaker implantation is a relatively simple technique, there are significant complications that can occur at different times. Peri-procedural complications, such as failed venous access, air embolus, and cardiac perforation are described, including early warning signs and management methods. Intermediate complications such as haematoma and dislodgement of the lead tip are covered. Late complications, including thrombosis, ‘Twiddler’s syndrome’, and the appearance of manufacturing defects are also described, along with management techniques.

scholarly journals Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

2020 ◽  
pp. 112972982094406
Author(s):  
Lucio Brugioni ◽  
Elisabetta Bertellini ◽  
Mirco Ravazzini ◽  
Marco Barchetti ◽  
Andrea Borsatti ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Guide Wire ◽  
Case Series ◽  
Venous Catheter ◽  
Venous Access ◽  
Late Complications ◽  
Central Catheter ◽  
Central Venous ◽  
Single Lumen ◽  
Thrombotic Complications

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

Pacemaker use for the treatment of reflex-mediated syncope: 40-year experience at a single paediatric institution

2021 ◽  
pp. 1-6
Author(s):  
Thomas Huang ◽  
Edward O’Leary ◽  
Mark E. Alexander ◽  
Laura Bevilacqua ◽  
Francis Fynn-Thompson ◽  
...  
Keyword(s):  
Young Adults ◽  
Atrioventricular Block ◽  
Sinus Bradycardia ◽  
Pacemaker Implantation ◽  
Complication Rates ◽  
Single Centre Experience ◽  
Procedural Complications ◽  
Children And Young Adults ◽  
Dual Chamber Pacemakers

Abstract Introduction: Reflex-mediated syncope occurs in 15% of children and young adults. In rare instances, pacemakers are required to treat syncopal episodes associated with transient sinus pauses or atrioventricular block. This study describes a single centre experience in the use of permanent pacemakers to treat syncope in children and young adults. Materials and methods: Patients with significant pre-syncope or syncope and pacemaker implantation from 1978 to 2018 were reviewed. Data collected included the age of presentation, method of diagnosis, underlying rhythm disturbance, age at implant, type of pacemaker implanted, procedural complications and subsequent symptoms. Results: Fifty patients were identified. Median age at time of the first syncopal episode was 10.2 (range 0.3–20.4) years, with a median implant age of 14.9 (0.9–34.3) years. Significant sinus bradycardia/pauses were the predominant reason for pacemaker implant (54%), followed by high-grade atrioventricular block (30%). Four (8%) patients had both sinus pauses and atrioventricular block documented. The majority of patients had dual-chamber pacemakers implanted (58%), followed by ventricular pacemakers (38%). Median follow-up was 6.7 (0.4–33.0) years. Post-implant, 4 (8%) patients continued to have syncope, 7 (14%) had complete resolution of their symptoms, and the remaining reported a decrease in their pre-syncopal episodes and no further syncope. Twelve (24%) patients had complications, including two infections and eight lead malfunctions. Conclusions: Paediatric patients with reflex-mediated syncope can be treated with pacing. Complication rates are high (24%); as such, permanent pacemakers should be reserved only for those in whom asystole from sinus pauses or atrioventricular block has been well documented.

scholarly journals Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing

2015 ◽  
Vol 3 (2) ◽  
pp. 52-54
Author(s):  
S Subash ◽  
Divya Gopal ◽  
Ashwini Thimmarayappa
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Central Venous Access ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Venous Access ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Pacing Lead ◽  
Chest X Ray

ABSTRACT Patients with persistent left superior vena cava (PLSVC) are usually asymptomatic, but due to its anatomical defects, difficulties in establishing central venous access, pacemaker implantation and cardiothoracic surgery are common. We report a case of 65 years old patient who presented with complete heart block in cardiac critical care and, after emergency transvenous pacing, the chest X-ray showed unusual course of the transvenous pacing lead, which on further transthoracic echocardiographic (TTE) evaluation demonstrated dilated coronary sinus with PLSVC. How to cite this article Subash S, Gopal D, Thimmarayappa A. Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing. J Perioper Echocardiogr 2015; 3(2):52-54.

Cardiac Pacing in Children

1991 ◽  
Vol 2 (1) ◽  
pp. 150-155
Author(s):  
Patricia A. Lawrence
Keyword(s):  
Lithium Batteries ◽  
Pacemaker Implantation ◽  
Cardiac Pacing ◽  
Permanent Pacemaker ◽  
Infants And Children ◽  
Permanent Pacemaker Implantation ◽  
Common Causes ◽  
Technical Challenges ◽  
Pacemaker Complications ◽  
In Infants And Children

Advances in pacemaker technology over the last 25 years have made cardiac pacing in infants and children a safe and practical therapy. Some of the technical challenges encountered with the first permanent pacemaker implantation in children during the early 1960s have been solved with miniaturized generators, lithium batteries, noninvasive programmability, and improved placement techniques.1–3 This chapter reports common causes of bradydysrhythmias in children, reviews the indications for permanent pacemaker implantation in children, describes current pacing systems appropriate for children, and identifies nursing implications and potential pacemaker complications unique to children

scholarly journals Síndrome de Twiddler: Causa Rara de Disfunção de Pacemaker Definitivo

2014 ◽  
Vol 27 (5) ◽  
pp. 652
Author(s):  
Davide Moreira ◽  
Luís Ferreira dos Santos ◽  
António Costa ◽  
Luís Nunes ◽  
Jorge Oliveira Santos
Keyword(s):  
Adverse Effects ◽  
Rare Complication ◽  
Pacemaker Implantation ◽  
Equipment Failure ◽  
Twiddler’S Syndrome ◽  
Twiddler Syndrome

<p>The authors present a case of Twiddler’s syndrome, a rare complication after pacemaker implantation, first described in 1968. The article is complemented by an approach to the etiology and manifestations of this entity.</p><p><br /><strong>Keywords:</strong> Twiddler Syndrome; Pacemaker, Artificial/adverse effects; Equipment Failure.</p>

Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer

2019 ◽  
Vol 21 (5) ◽  
pp. 609-614
Author(s):  
Haiping Xu ◽  
Rui Chen ◽  
Chaojun Jiang ◽  
Sainan You ◽  
Qiannan Zhu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Mass ◽  
Early Breast Cancer ◽  
Malignant Tumors ◽  
Good Alternative ◽  
Venous Access ◽  
Late Complications ◽  
Central Venous ◽  
Upper Arm ◽  
Access Port

Purpose: Totally implantable venous access ports are widely used in chemotherapy for malignant tumors. This retrospective study investigated the safety, technical feasibility, and device-related complications of totally implantable venous access ports implanted in the upper arm. Methods: Between May 2016 and June 2018, 570 women with early breast cancer received chemotherapy and were successfully implanted with a totally implantable venous access port in the upper arm. Device-related complications were collected and influencing factors were analyzed for major complications. Results: Only one case underwent premature port removal before the end of chemotherapy. Device-related complications were observed in 32 cases, including 31 late complications. The rate of complications was 0.263/1000 catheter-days. Infection and thrombosis were the most common complications, occurring in 13 and 8 cases, respectively. Other complications were catheter occlusion, catheter dislocation, arrhythmia, and so on. Patients with higher body mass index were significantly more prone to infection and those who experienced catheter-related thrombosis had longer implantation times and higher body mass indices. Conclusion: Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer, with a low rate of complications, providing good alternative to central venous ports.

scholarly journals TWIDDLER'S SYNDROME: A RARE BUT A SERIOUS COMPLICATION OF PACEMAKER IMPLANTATION

2018 ◽  
Vol 71 (11) ◽  
pp. A2586 ◽  
Author(s):  
Sarmed Mansur ◽  
Ihab Kassab ◽  
Nadine Sarsam ◽  
Riple Hansalia
Keyword(s):  
Pacemaker Implantation ◽  
Twiddler’S Syndrome

scholarly journals Isolated Persistent Left Superior Vena Cava, Sick Sinus Syndrome, and Challenging Pacemaker Implantation

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Hatice S. Kemal ◽  
Aziz Gunsel ◽  
Levent Cerit ◽  
Murat Kocaoglu ◽  
Hamza Duygu
Keyword(s):  
Superior Vena Cava ◽  
Sick Sinus Syndrome ◽  
Superior Vena ◽  
Central Venous Access ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Venous Access ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Conduction Disturbances

Persistent left superior vena cava with absent right superior vena cava is a very rare venous anomaly and is known as isolated PLSVC. It is usually an asymptomatic anomaly and is mostly detected during difficult central venous access or pacemaker implantation, though it could also be associated with an increased incidence of congenital heart disease, arrhythmias, and conduction disturbances. Herein, we describe a dual-chamber pacemaker implantation in a patient with isolated PLSVC and sick sinus syndrome.

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