Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient.
BMC Cardiovasc Disord
; 21(1): 502, 2021 10 18.
Article
in En
| MEDLINE
| ID: mdl-34663211
ABSTRACT
BACKGROUND:
Leadless pacemaker was a promising innovation than traditional transvenous pacemaker, the procedural complications were prone to be bleeding-related. However, very few reports also concerned about the thrombus formation during the procedure. CASE PRESENTATION A hemodialysis patient with diabetic gangrene of right foot suffered from catheter-related thrombosis during leadless pacing, resulting in failure of recapture the pacemaker. A low activated clotting time (ACT) level of 104 s confirmed the insufficiency of anticoagulation. Finally, the whole delivery catheter had to be removed from the delivery sheath, another new pacemaker system was applied and successfully implanted after adjusting the ACT level to 248 s.CONCLUSION:
Catheter-related thrombosis could be a large obstacle for leadless pacemaker implantation. In addition to routine anticoagulation, ACT monitoring might be necessary during the procedure.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pacemaker, Artificial
/
Atrial Fibrillation
/
Thrombosis
/
Catheterization
/
Cardiac Pacing, Artificial
/
Renal Dialysis
/
Catheters
/
Catheter Obstruction
/
Kidney Failure, Chronic
/
Anticoagulants
Type of study:
Diagnostic_studies
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
BMC Cardiovasc Disord
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
Year:
2021
Document type:
Article