Arteriovenous Fistula Formation After Lead Extraction

Abstract The junction between the left brachiocephalic vein and the superior vena cava is a high-risk region during lead extraction. Venous laceration with hemodynamic collapse is the most feared complication arising in this region, but arteriovenous fistula formation after excimer laser extraction...

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Veröffentlicht in:Canadian journal of cardiology 2013-12, Vol.29 (12), p.1742.e5-1742.e7
Hauptverfasser: Hanninen, Mikael, MD, FRCPC, Wright, Gary, MBChB, Manlucu, Jaimie, MD, FRCPC, Peck, David, MD, FRCPC, Yee, Raymond, MD, FRCPC
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container_end_page 1742.e7
container_issue 12
container_start_page 1742.e5
container_title Canadian journal of cardiology
container_volume 29
creator Hanninen, Mikael, MD, FRCPC
Wright, Gary, MBChB
Manlucu, Jaimie, MD, FRCPC
Peck, David, MD, FRCPC
Yee, Raymond, MD, FRCPC
description Abstract The junction between the left brachiocephalic vein and the superior vena cava is a high-risk region during lead extraction. Venous laceration with hemodynamic collapse is the most feared complication arising in this region, but arteriovenous fistula formation after excimer laser extraction also has been reported. A case of arteriovenous fistula presenting 3 days after extraction with acute pulmonary edema is described. A continuous murmur was heard near the extraction site and invasive angiography demonstrated a left internal mammary artery to the brachiocephalic vein fistula, which was coiled. A new continuous murmur after lead extraction is the hallmark of this rare complication.
doi_str_mv 10.1016/j.cjca.2013.07.681
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Venous laceration with hemodynamic collapse is the most feared complication arising in this region, but arteriovenous fistula formation after excimer laser extraction also has been reported. A case of arteriovenous fistula presenting 3 days after extraction with acute pulmonary edema is described. A continuous murmur was heard near the extraction site and invasive angiography demonstrated a left internal mammary artery to the brachiocephalic vein fistula, which was coiled. 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Venous laceration with hemodynamic collapse is the most feared complication arising in this region, but arteriovenous fistula formation after excimer laser extraction also has been reported. A case of arteriovenous fistula presenting 3 days after extraction with acute pulmonary edema is described. A continuous murmur was heard near the extraction site and invasive angiography demonstrated a left internal mammary artery to the brachiocephalic vein fistula, which was coiled. A new continuous murmur after lead extraction is the hallmark of this rare complication.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>24140075</pmid><doi>10.1016/j.cjca.2013.07.681</doi></addata></record>
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subjects Angiography
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Brachiocephalic Veins - diagnostic imaging
Brachiocephalic Veins - injuries
Cardiovascular
Device Removal
Electrodes, Implanted
Embolization, Therapeutic
Female
Heart Failure - diagnostic imaging
Heart Failure - etiology
Heart Failure - therapy
Humans
Mammary Arteries - diagnostic imaging
Mammary Arteries - injuries
Middle Aged
Pacemaker, Artificial
Pulmonary Edema - diagnostic imaging
Pulmonary Edema - etiology
Pulmonary Edema - therapy
Tomography, X-Ray Computed
title Arteriovenous Fistula Formation After Lead Extraction
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