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Lo SW, Chen JY. Case report: A rare complication after the implantation of a cardiac implantable electronic device: Contralateral pneumothorax with pneumopericardium and pneumomediastinum. Front Cardiovasc Med 2022; 9:938735. [PMID: 36061532 PMCID: PMC9433779 DOI: 10.3389/fcvm.2022.938735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Accepted: 07/25/2022] [Indexed: 11/13/2022] Open
Abstract
Cardiac implantable electronic devices (CIED) including pacemakers (PM), implantable cardioverter defibrillators (ICD), and cardiac resynchronized therapy (CRT) have become the mainstay of therapy for many cardiac conditions, consequently drawing attention to the risks and benefits of these procedures. Although CIED implantation is usually a safe procedure, pneumothorax remains an important complication and may contribute to increased morbidity, mortality, length of stay, and hospital costs. On the other hand, pneumopericardium and pneumomediastinum are rare but potentially fatal complications. Accordingly, a high degree of awareness about these complications is important. Pneumothorax almost always occurs on the ipsilateral side of implantation. The development of contralateral pneumothorax is uncommon and may be undetected on an initial chest radiograph. Contralateral pneumothorax with concurrent pneumopericardium and pneumomediastinum is much rarer. We describe a rare case of concurrent right-sided pneumothorax with pneumopericardium and pneumomediastinum after left-sided pacemaker implantation and highlight the risk factors, management, and possible ways to prevent the complications.
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Body mass index is related to unsuccessful puncture attempts and failure to axillary vein cannulation during ultrasound-guided cardiac electronic device implantation. J Interv Card Electrophysiol 2020; 61:253-259. [DOI: 10.1007/s10840-020-00800-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 06/09/2020] [Indexed: 11/26/2022]
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Migliore F, Fais L, Vio R, De Lazzari M, Zorzi A, Bertaglia E, Iliceto S. Axillary vein access for permanent pacemaker and implantable cardioverter defibrillator implantation: Fluoroscopy compared to ultrasound. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2020; 43:566-572. [DOI: 10.1111/pace.13940] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 03/20/2020] [Accepted: 05/08/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Federico Migliore
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
| | - Luisa Fais
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
| | - Riccardo Vio
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
| | - Manuel De Lazzari
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
| | - Alessandro Zorzi
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
| | - Emanuele Bertaglia
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
| | - Sabino Iliceto
- Department of Cardiac, Thoracic, Vascular Sciences and Public HealthUniversity of Padova Padova Italy
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