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Polyurethane Sheath Disintegration Causing Impaction of Pacer Lead and Shock during Attempted Removal
Author(s) -
HUBBELL DAVID S.,
TYLER GILMAN R.,
ZOBLE ROBERT G.
Publication year - 1986
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 - 10.1111/j.1540-8159.1986.tb06610.x
Subject(s) - medicine , superior vena cava , thoracotomy , lead (geology) , shock (circulatory) , surgery , subclavian vein , traction (geology) , cardiology , catheter , geomorphology , geology
Steady traction to remove a lead whose polyurethane sheath had disintegrated caused displacement of the heart and caused hypotension; the bared lead uncoiled and impacted in the wall of the subclavian vein. The tension on the intrathoracic lead was relieved via immediate anterior thoracotomy and compartmentalization of the superior vena cava.