Key result
A 73-year-old man with pre-existing left bundle branch block developed complete atrioventricular block during guide-wire insertion for a hemodialysis catheter, which resolved spontaneously.
Population
1 patient with pre-existing left bundle branch block (LBBB) undergoing hemodialysis catheter insertion
Design
Case_report
Authors
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Procedural caution is warranted during central access in LBBB patients; this case leaves open the incidence of conduction block.
Case Report (n=1)
Highlights the risk of fatal complete AV block during central venous catheter insertion in patients with pre-existing LBBB due to potential guide-wire induced RBBB.
Choi et al. (2015) conducted a case report in Pre-existing left bundle branch block requiring hemodialysis (n=1). Tunneled cuffed hemodialysis catheter insertion was evaluated on Development of complete atrioventricular block. A 73-year-old man with pre-existing left bundle branch block developed complete atrioventricular block during guide-wire insertion for a hemodialysis catheter, which resolved spontaneously.
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