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...

Full description

Saved in:
Bibliographic Details
Published in:Canadian journal of cardiology 2013-12, Vol.29 (12), p.1742.e5-1742.e7
Main Authors: Hanninen, Mikael, MD, FRCPC, Wright, Gary, MBChB, Manlucu, Jaimie, MD, FRCPC, Peck, David, MD, FRCPC, Yee, Raymond, MD, FRCPC
Format: Article
Language:English
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
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0828-282X
1916-7075
DOI:10.1016/j.cjca.2013.07.681