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Central venous catheter fracture during pacemaker lead extraction

Published byBarnaby Henry Modified over 6 years ago

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Presentation on theme: "Central venous catheter fracture during pacemaker lead extraction"— Presentation transcript:

1 Central venous catheter fracture during pacemaker lead extraction
Jacques Rizkallah, MD, Glen Sumner, MD, FRCPC, Robert Sheldon, MD, PhD, FRCPC, FHRS  HeartRhythm Case Reports  Volume 2, Issue 1, Pages (January 2016) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Chest radiograph depicting a peripherally inserted central venous catheter (white arrow) through the left brachial vein. HeartRhythm Case Reports 2016 2, 11-13DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Chest radiograph depicting the fractured peripherally inserted central venous catheter following lead extraction (white arrows identify the fractured catheter with the distal now embedded deep into the right atrium). Also visible in this radiograph is a new temporary pacing lead that was inserted via direct axillary venous puncture access in a location outside and above the infected pacemaker pocket; the temporary pacing lead was connected to the now-externalized old pacemaker generator that was secured to the skin outside of the infected pacemaker pocket. This temporary pacing lead was necessary for the duration of antibiotic therapy prior to the new system implant because the patient was pacemaker dependent; it was placed on the same side as the infection to avoid vascular injury and localized infection in the contralateral venous access site where the new permanent pacemaker system will be implanted when the infection resolves. HeartRhythm Case Reports 2016 2, 11-13DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

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