An Ill Wind-Iatrogenic Air Embolus Around Pacing Leads During Defibrillator Implant with Coexisting Pulmonary Fibrosis
Autor: | Daniel M. Ninio, John T. Y. Hii |
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Rok vydání: | 2006 |
Předmět: |
Male
Defibrillator implant Pacemaker Artificial medicine.medical_specialty business.industry Pulmonary Fibrosis General Medicine Middle Aged medicine.disease Air embolism Defibrillators Implantable Surgery Air embolus Biventricular defibrillator Internal medicine Dilator Pulmonary fibrosis Cardiology medicine Embolism Air Humans Hemostatic Valve Cardiology and Cardiovascular Medicine Complication business |
Zdroj: | Pacing and Clinical Electrophysiology. 29:213-214 |
ISSN: | 1540-8159 0147-8389 |
DOI: | 10.1111/j.1540-8159.2006.00322.x |
Popis: | We present a case of air embolism during biventricular defibrillator implantation in a 58-year-old man with pulmonary fibrosis. To prevent air entry after the dilator was removed, the subclavian venous sheath was covered before the lead was introduced. Air embolism occurred during inspiration around the lead body in the appropriate sized sheath but without a hemostatic valve. Extraordinary swings in intrathoracic pressure due to noncompliant lungs may have contributed to this unusual complication. |
Databáze: | OpenAIRE |
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