What question did this study set out to answer?

To report a case of pacemaker failure caused by catheter perforation of the right ventricle following permanent transvenous pacemaker implantation.

August 4, 1966New England Journal of Medicine

Myocardial Perforation by a Permanent Transvenous Pacemaker

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Population

16 patients who received permanent transvenous pacemakers at Strong Memorial Hospital, with a detailed case…

Design

Case_report

Authors

AMArthur J. MossSemmelweis University RRRobert J. RiversLahey Hospital and Medical Center

Discussion

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Implication

Right ventricular perforation may cause transvenous pacemaker failure; this Level 5 case leaves open its incidence and prevention.

Key Points

To report a case of pacemaker failure caused by catheter perforation of the right ventricle following permanent transvenous pacemaker implantation.
Reviewed clinical outcomes among 16 patients receiving 18 permanent transvenous pacemakers inserted via the jugular approach for complete heart block.
Conducted a detailed case evaluation of a 73-year-old woman presenting with recurrent Stokes–Adams attacks following fluoroscopy-guided transvenous lead placement.
Documented irregular pacing and recurrent Stokes–Adams attacks in 1 out of 16 patients following transvenous pacemaker placement.
Identified transvenous catheter perforation through the right ventricular apex into the myocardium as the underlying cause of pacemaker malfunction.

Structured PICO

Population

16 patients who received permanent transvenous pacemakers at Strong Memorial Hospital, with a detailed case report of a 73-year-old woman with chronic intermittent complete heart block and Stokes-Adams attacks.

Intervention

Permanent transvenous pacemaker insertion via the jugular approach.

Outcome

Pacemaker failure due to catheter perforation of the right ventricle.safety

This case report highlights the risk of right ventricular perforation as a complication of permanent transvenous pacemaker insertion.

Cite This Study

Moss et al. (1966) studied this question.

synapsesocial.com/papers/6a7d1d3d1e774f560a424fbe https://doi.org/10.1056/nejm196608042750508

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Myocardial Perforation by a Permanent Transvenous Pacemaker

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Myocardial Perforation by a Permanent Transvenous Pacemaker

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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