scholarly journals Recurrent Forearm Thrombophlebitis after Transvenous Permanent Pacemaker Insertion.

1993 ◽  
Vol 34 (6) ◽  
pp. 809-813 ◽  
Author(s):  
Mitsuru NOMA ◽  
Yasutaka UENO ◽  
Akira MIZUSHIMA ◽  
Akira SESE ◽  
Yutaka KIKUCHI
Keyword(s):  
Permanent Pacemaker ◽  
Pacemaker Insertion

scholarly journals J-ministernotomy for aortic valve replacement: a retrospective cohort study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Mohammad A. Torky ◽  
Amr A. Arafat ◽  
Hosam F. Fawzy ◽  
Abdelhady M. Taha ◽  
Ehab A. Wahby ◽  
...  
Keyword(s):  
Cohort Study ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Permanent Pacemaker ◽  
Safe Alternative ◽  
Free Survival ◽  
Pacemaker Insertion ◽  
Cardiac Operations ◽  
Low Ejection Fraction

Abstract Background The advantage of minimally invasive sternotomy (MS) over full sternotomy (FS) for isolated aortic valve replacement (AVR) is still controversial. We aimed to examine if J-shaped MS is a safe alternative to FS in patients undergoing primary isolated AVR. This study is a retrospective and restricted cohort study that included 137 patients who had primary isolated AVR from February 2013 to June 2015. Patients with previous cardiac operations, low ejection fraction (< 40%), infective endocarditis, EuroSCORE II predicted mortality > 10%, and patients who had inverted T or inverted C-MS or right anterior thoracotomy were excluded. Patients were grouped into the FS group (n=65) and MS group (n=72). Preoperative variables were comparable in both groups. The outcome was studied, balancing the groups by propensity score matching. Results Seven (9%) patients in the MS group were converted to FS. Cardiopulmonary bypass (98.5 ± 29.3 vs. 82.1 ± 13.95 min; p ≤ 0.001) and ischemic times (69.1 ± 23.8 vs. 59.6 ± 12.2 min; p = 0.001) were longer in MS. The MS group had a shorter duration of mechanical ventilation (10.1 ± 11.58 vs. 10.9 ± 6.43 h; p = 0.045), ICU stay (42.74 ± 40.5 vs. 44.9 ± 39.3; p = 0.01), less chest tube drainage (385.3 ± 248.6 vs. 635.9 ± 409.6 ml; p = 0.001), and lower narcotics use (25.14 ± 17.84 vs. 48.23 ± 125.68 mg; p < 0.001). No difference was found in postoperative heart block with permanent pacemaker insertion or atrial fibrillation between groups (p = 0.16 and 0.226, respectively). Stroke, renal failure, and mortality did not differ between the groups. Reintervention-free survival at 1, 3, and 4 years was not significantly different in both groups (p = 0.73). Conclusion J-ministernotomy could be a safe alternative to FS in isolated primary AVR. Besides the cosmetic advantage, it could have better clinical outcomes without added risk.

Unexpected cardiac tamponade during robot-assisted permanent pacemaker insertion -A case report-

2008 ◽  
Vol 55 (4) ◽  
pp. 498
Author(s):  
Young-soo Park ◽  
Yoon Kyung Lee ◽  
Seung Hye Baek ◽  
Sung-moon Jeong ◽  
Jai Hyun Hwang
Keyword(s):  
Case Report ◽  
Cardiac Tamponade ◽  
Permanent Pacemaker ◽  
Robot Assisted ◽  
Pacemaker Insertion

scholarly journals Chest pain following permanent pacemaker insertion… a case of pneumopericardium due to atrial lead perforation

2018 ◽  
pp. bcr-2018-226318 ◽  
Author(s):  
Suleman Aktaa ◽  
Kavi Fatania ◽  
Claire Gains ◽  
Hazel White
Keyword(s):  
Chest Pain ◽  
Ct Scan ◽  
Permanent Pacemaker ◽  
Common Procedure ◽  
Cardiac Perforation ◽  
Lead Perforation ◽  
Repeat Chest ◽  
Normal Chest ◽  
Chest X Ray ◽  
Pacemaker Insertion

Permanent pacemaker (PPM) implantation is an increasingly common procedure with complication rate estimated between 3% and 6%. Cardiac perforation by pacemaker lead(s) is rare, but a previous study has shown that it is probably an underdiagnosed complication. We are presenting a case of a patient who presented 5 days after PPM insertion with new-onset pleuritic chest pain. She had a normal chest X-ray (CXR), and acceptable pacing checks. However, a CT scan of the chest showed pneumopericardium and pneumothorax secondary to atrial lead perforation. The pain only settled by replacing the atrial lead. A repeat chest CT scan a few months later showed complete resolution of the pneumopericardium and pneumothorax. We believe that cardiac perforation can be easily missed if associated with normal CXR and acceptable pacing parameters. Unexplained chest pain following PPM insertion might be the only clue for such complication, although it might not always be present.

scholarly journals A case report of cardiac amyloidosis presenting with chronic pericardial effusion and conduction block

2019 ◽  
Vol 3 (4) ◽  
pp. 1-7
Author(s):  
Kevin John John ◽  
Ajay Kumar Mishra ◽  
Ramya Iyyadurai
Keyword(s):  
Pericardial Effusion ◽  
Cardiac Amyloidosis ◽  
Conduction Block ◽  
Vital Signs ◽  
Permanent Pacemaker ◽  
Rare Presentation ◽  
Amyloid Deposits ◽  
Clinical Presentations ◽  
Chest X Ray ◽  
Pacemaker Insertion

Abstract Background Amyloidosis is caused by the deposition of abnormal proteins in the extracellular space of various organs. The clinical features of amyloidosis depend on the type of amyloid protein and the organ system involved. Case summary A 51-year-old woman developed complete heart block which warranted a permanent pacemaker insertion. She was referred for evaluation of chronic pericardial effusion. The patient had stable vital signs and muffled heart sounds on examination of the cardiovascular system. Her chest X-ray film showed a permanent pacemaker in situ, and echocardiogram showed a chronic pericardial effusion without features of tamponade. On further evaluation, she was found to have an M band on serum electrophoresis, elevated free light chain ratio and amyloid deposits in bone marrow biopsy. Technetium pyrophosphate (Tc-PYP) scintigraphy was consistent with cardiac amyloidosis. Discussion Cardiac amyloidosis can have diverse clinical presentations. Chronic pericardial effusion and conduction block can be a rare presentation of cardiac amyloidosis and needs to be considered while evaluating the same. Cardiac magnetic resonance imaging and Tc-PYP imaging can be used in establishing the diagnosis of cardiac amyloidosis, if endomyocardial biopsy is not feasible.

Permanent Pacemaker Insertion: A Five-Year Appraisal

1966 ◽  
Vol 2 (4) ◽  
pp. 561-575 ◽  
Author(s):  
Victor Parsonnet ◽  
Lawrence Gilbert ◽  
I. Richard Zucker
Keyword(s):  
Permanent Pacemaker ◽  
Pacemaker Insertion

scholarly journals Characteristics, indications and complications in patients undergoing permanent pacemaker implantation: a single centre study

2018 ◽  
Vol 6 (12) ◽  
pp. 4053
Author(s):  
Sanjeev Bhat ◽  
Dharminder Kumar ◽  
Aditi Parimoo
Keyword(s):  
Sinus Node ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Single Chamber ◽  
Common Indication ◽  
Permanent Pacemaker Implantation ◽  
Pacing Mode ◽  
Node Disease ◽  
Sinus Node Disease ◽  
Pacemaker Insertion

Background: To determine the demographic details, indications, type of pacemakers and complications in patients undergoing the permanent pacemaker implantation.Methods: This was a single-center, retrospective study conducted in at a tertiary-care center in India. The records of 200 patients who had undergone implantation of permanent pacemakers in the period of May 2016 to April 2018 were reviewed.Results: Total 200 patients with mean age of 67 years were paced. Of these 120 (60%) were males. The mean duration of hospital stay was 6.5 days. Sinus node disease (105 patients, 52.5%) was the most common indication for permanent pacemaker insertion. Single chamber (VVIR) pacing mode (125 patients, 62.5%) was found to be the most common pacing mode used for pacemaker insertion. Among the 200 patients complications were observed in 8 patients (4%). Of these 8 patients, pneumothorax (4 patients, 2%) was found to be the most common complication for permanent pacemaker implantation followed by local site infection (1 patient, 0.5%). Only 1 patient (0.5%) died during the observation period of the study.Conclusions: Geriatric population with male predominance have observed to commonly undergo permanent pacemaker implantation. Sinus node disease in the elderly patients is the most common indication for cardiac pacing followed by atrioventricular block. Single chamber (VVIR) pacing mode is commonly used followed by dual chamber (DDDR) due to economic reasons in India. Pacemaker implantation is a relatively safe procedure with a low complication rate.

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