Right pneumothorax resulting from an endocardial screw-in atrial lead

被引：26

作者：

Ho, WJ ^{[1
]}

Kuo, CT ^{[1
]}

Lin, KH ^{[1
]}

机构：

[1] Chang Gung Univ, Chang Gung Mem Hosp, Dept Cardiol, Taipei, Taiwan

来源：

CHEST | 1999年 / 116卷 / 04期

关键词：

atrial perforation; permanent pacemaker; pneumothorax; screw-in atrial lead;

D O I：

10.1378/chest.116.4.1133

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Right pneumothorax complicated by an endocardial atrial lead has never been reported. Herein, we report on a small-build 79-year-old Taiwanese woman who suffered from complete AV block and underwent dual-chamber permanent pacemaker implantation. An active fixation screw-in atrial lead was chosen. The procedure was complicated by right pneumothorax associated with atrial perforation. Since simple measurements of the implantation parameters could not be used to predict the occurrence of perforation, great caution should be taken in to avoid overscrewing the atrial lead, and in scrutinizing the penetration depth of the helix of the lead under fluoroscopy.

引用

页码：1133 / 1134

页数：2

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