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Ventricular Lead Transection and Atrial Lead Damage in a Young Softball Player Shortly After the Insertion of a Permanent Pacemaker
Author(s) -
SCHUGER CLAUDIO D.,
MITTLEMAN ROBERT,
HABBAL BASSAM,
WAGSHAL ALAN,
HUANG SHOEI K. STEPHEN
Publication year - 1992
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.1540-8159.1992.tb03132.x
Subject(s) - medicine , lead (geology) , ventricular pacing , surgery , cardiology , heart failure , geomorphology , geology
We report a case in which permanent pacemaker implantation using a conventional subclavian approach on the throwing side of an avid Softball player resulted in complete transection of the ventricular lead and severe damage to the atrial lead. The site of the lead fracture suggested that both leads were crushed between the clavicle and the first rib as a result of the frequent and repetitive arm movement. This case illustrates the importance of the selection of the correct approach for permanent pacing lead insertion.