Premium
Oozing from the Pericardium as an Etiology of Cardiac Tamponade Associated with Screw‐In Atrial Leads
Author(s) -
AIZAWA KENICHI,
KANEKO YOSHIAKI,
YAMAGISHI TAKAHIRO,
UTSUGI TOSHIHIRO,
SUZUKI TORU,
ISHIKAWA SUSUMU,
OTAKI AKIO,
MORISHITA YASUO,
HASEGAWA AKIRA,
KURABAYASHI MASAHIKO,
NAGAI RYOZO
Publication year - 2001
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2001.00381.x
Subject(s) - medicine , cardiac tamponade , pericardium , tamponade , atrioventricular block , complication , cardiology , pericarditis , surgery , perforation , atrium (architecture) , atrial fibrillation , punching , materials science , metallurgy
AIZAWA, K., et al. : Oozing from the Pericardium as an Etiology of Cardiac Temponade Associated with Screw‐In Atrial Leads. Screw‐in atrial pacing leads are widely used. Cardiac tamponade is a complication. An 81‐year‐old woman with advanced atrioventricular block underwent permanent pacemaker implantation and subsequently developed cardiac tamponade. At surgery, the lead‐tip screw was found penetrated through the right atrium but not through the pericardium. The source of bleeding was confirmed to scratching the inner pericardial membrane by the screw tip. Although cardiac tamponade due to perforation and leakage is known, tamponade caused by the trauma of an atrial screw on the pericardium with resultant ooze is less well described.