Document Detail

Aortic perforation by active-fixation atrial pacing lead.
MedLine Citation:
PMID:  15009878     Owner:  NLM     Status:  MEDLINE    
This report describes perforation of the aorta related to the implantation of an active-fixation atrial pacing lead, a previously undocumented complication of pacemaker implantation. The complication was related to excessive tissue penetration by the screw at the tip of the lead or perforation of the lead body by the positioning stylet during manipulation whereupon the stylet traversed the atrial wall and aortic wall. Perforation of the aorta should be part of the differential diagnosis of cardiac tamponade after pacemaker implantation.
Amir Kashani; Ali Mehdirad; Carey Fredman; S Serge Barold
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  27     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-10     Completed Date:  2004-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-8     Citation Subset:  IM    
St John's Mercy Medical Center, St Louis, Missouri, USA.
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MeSH Terms
Aorta / injuries*
Cardiac Tamponade / etiology
Electrodes, Implanted / adverse effects*
Follow-Up Studies
Pacemaker, Artificial / adverse effects*
Pericardial Effusion / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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