Temporary epicardial pacing wire removal: is it an innocuous procedure?
نویسندگان
چکیده
The safety and efficacy of temporary pericardial pacing wires have been accepted and their use is common after cardiac operations. Complications related to pacing wire removal are unusual but it can be serious and even catastrophic. We report an unusual case of bleeding due the laceration and rent created in the saphenous vein graft wall by the metallic tip of the pacing wire at the time of pacing wire removal.
منابع مشابه
Clinical and mechanical factors associated with the removal of temporary epicardial pacemaker wires after cardiac surgery
BACKGROUND Temporary pacemaker wires are placed in the majority of patients after cardiac surgery. There is no information on mechanical factors related to wire removal. METHODS Clinical information related to temporary wire use and removal was prospectively collected from a large cardiac surgical unit over one year. Measurements of maximal tension that nurses and doctors would apply to remov...
متن کاملAortic bleeding one week after removal of an intraoperative epicardial temporary pacing wire.
A 56-year-old man had left nephrectomy and resection of a cavoatrial tumor thrombus under a cardiopulmonary bypass assist for left renal cell carcinoma. An intraoperative bipolar temporary epicardial atrial pacing wire was removed on postoperative day 8. The patient collapsed on postoperative day 15. Emergent transthoracic echocardiography and computed tomography scanning with contrast media de...
متن کاملInjury to a saphenous vein graft during removal of a temporary epicardial pacing wire electrode.
Removal of a temporary atrial epicardial pacemaker electrode damaged a saphenous vein graft. A new blood clot was removed from the damaged graft. The hole was successfully repaired with a polypropylene suture. Pacing wires should be carefully sited and should be removed only when facilities for urgent operation are available.
متن کاملIntraaortic migration of an epicardial pacing wire: percutaneous extraction.
Infrequent but serious complications have been described in association with temporary epicardial pacing wires. We describe the case of an intraaortic migration of an infected retained atrial temporary epicardial pacing wire and the transfemoral percutaneous interventional approach for its extraction.
متن کاملeComment. Retained temporary epicardial pacing wires in cardiac surgery.
8159.2011.03112.x. [11] Sakellaridis T, Argiriou M, Panagiotakopoulos V, Charitos C. Bilateral sternobronchial fistula after coronary surgery—are retained epicardial pacing wires responsible. J Cardiothorac Surg 2009;4:26. [12] Horng GS, Ashley E, Balsam L, Reitz B, Zamanian RT. Progressive dyspnoea after CABG: complication of retained epicardial pacing wires. Ann Thorac Surg 2008;86:1352–4. [1...
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عنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 11 6 شماره
صفحات -
تاریخ انتشار 2010