Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal
Percutaneous implantable device extraction has increased in recent years and is associated with small but significant risk. Arteriovenous fistula formation is an uncommon complication of this procedure. We report two cases where lead extraction was complicated by an arteriovenous fistula between th...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2011/408640 |
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| _version_ | 1832558499522936832 |
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| author | Cesar Cruz Jonathan Langberg Stamatios Lerakis Ravi Veeraswamy Michael Lloyd |
| author_facet | Cesar Cruz Jonathan Langberg Stamatios Lerakis Ravi Veeraswamy Michael Lloyd |
| author_sort | Cesar Cruz |
| collection | DOAJ |
| description | Percutaneous implantable device extraction has increased in recent years and is associated with small but significant risk. Arteriovenous fistula formation is an uncommon complication of this procedure. We report two cases where lead extraction was complicated by an arteriovenous fistula between the left internal mammary artery and the left brachiocephalic vein. In both cases, the patients were asymptomatic and the presence of a continuous murmur in the left subclavicular region led to the appropriate diagnosis. These were successfully treated with coil embolization. Auscultation around prior extraction sites should be routinely done to aid in the diagnosis of this potentially harmful complication. |
| format | Article |
| id | doaj-art-1031e28d181b4373b73b8f0b1a2e08e8 |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-1031e28d181b4373b73b8f0b1a2e08e82025-02-03T01:32:11ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/408640408640Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device RemovalCesar Cruz0Jonathan Langberg1Stamatios Lerakis2Ravi Veeraswamy3Michael Lloyd4Department of Cardiology, Division of Electrophysiology, Emory University, GA 30322, USADepartment of Cardiology, Division of Electrophysiology, Emory University, GA 30322, USADepartment of Cardiology, Division of Electrophysiology, Emory University, GA 30322, USADepartment of Cardiology, Division of Electrophysiology, Emory University, GA 30322, USADepartment of Cardiology, Division of Electrophysiology, Emory University, GA 30322, USAPercutaneous implantable device extraction has increased in recent years and is associated with small but significant risk. Arteriovenous fistula formation is an uncommon complication of this procedure. We report two cases where lead extraction was complicated by an arteriovenous fistula between the left internal mammary artery and the left brachiocephalic vein. In both cases, the patients were asymptomatic and the presence of a continuous murmur in the left subclavicular region led to the appropriate diagnosis. These were successfully treated with coil embolization. Auscultation around prior extraction sites should be routinely done to aid in the diagnosis of this potentially harmful complication.http://dx.doi.org/10.4061/2011/408640 |
| spellingShingle | Cesar Cruz Jonathan Langberg Stamatios Lerakis Ravi Veeraswamy Michael Lloyd Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal Cardiology Research and Practice |
| title | Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal |
| title_full | Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal |
| title_fullStr | Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal |
| title_full_unstemmed | Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal |
| title_short | Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal |
| title_sort | internal mammary arterial injury from lead extraction a clinically subtle yet important complication of implantable device removal |
| url | http://dx.doi.org/10.4061/2011/408640 |
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