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Internal Balloon Compression: A Method to Achieve Hemostasis when Removing an Inadvertently Placed Pacemaker Lead from the Subclavian Artery
Author(s) -
OPHUIS A.J.M. OUDE,
DOORN D.J.,
OMMEN V.A.,
DULK K.,
WELLENS H.J.J.
Publication year - 1998
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.1540-8159.1998.tb00046.x
Subject(s) - medicine , subclavian artery , balloon , lead (geology) , hemostasis , subclavian vein , ascending aorta , cardiology , surgery , aorta , catheter , geomorphology , geology
One of the possible complications of subclavian vein puncture is entry into the subclavian artery. If this is not recognized, a pacemaker lead may be placed arterially. Since this may lead to systemic emboli, the pacemaker lead must be removed. This case report describes a patient in whom an atrial lead was inadvertently placed in the ascending aorta, where it had good sensing values but poor atrial capture threshold values. This lead was subsequently removed and hemostasis was achieved with intraarterial balloon compression via the brachial artery.