A rare complication of intracardiac double knotting of temporary pacemaker lead during bedside insertion: a case report.

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

European Heart Journal: Case Reports Pub Date : 2024-11-28 eCollection Date: 2024-12-01 DOI:10.1093/ehjcr/ytae623

Aditi Dattagupta, Shweta Agrawal, Srilakshmi Adhyapak, Harshith Kramadhari, Abhilash Konda

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Abstract

Background: Temporary pacemaker lead implantation is a common low-risk procedure, but can occasionally get complicated by infections, arrhythmias, thromboembolic events, and perforation of the vessel or the heart. However, intracardiac knotting of the temporary pacemaker lead has been rarely reported. This could lead to vascular or valvular injury, pneumothorax, symptomatic loss of pacing or haemodynamic compromise, and difficult lead removal.

Case summary: We are reporting a case of twice twice-knotted temporary pacemaker lead, which to our knowledge has not been reported before. The two knots in the transjugularly inserted temporary pacemaker lead, via a 6F venous sheath made it difficult to retrieve it.

Discussion: We decided to snare the knotted TPI into the inferior vena cava, and then retrieve it via a large-size femoral sheath, thus avoiding the need for a venotomy or any surgical intervention.

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床边插入临时起搏器导线时心内双结的罕见并发症：1例报告。

背景：临时起搏器导线植入是一种常见的低风险手术，但偶尔会因感染、心律失常、血栓栓塞事件和血管或心脏穿孔而并发症。然而，临时起搏器导联的心内打结很少有报道。这可能导致血管或瓣膜损伤、气胸、症状性起搏丧失或血流动力学损害，以及难以去除导联。病例总结：我们报告一例两次双结临时起搏器导联，据我们所知，这在以前没有报道过。经颈静脉插入的临时起搏器导线上的两个结，通过6F静脉鞘使其难以取出。讨论：我们决定将打结的TPI诱捕到下腔静脉，然后通过大尺寸股鞘将其取出，从而避免了静脉切开术或任何手术干预的需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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