Key result
Pacemaker insertion is a common procedure for cardiac rhythm dysfunction, with pneumothorax being a major complication that occurs in approximately 2% of cases after subclavian vein puncture.
This review highlights that pneumothorax is a notable complication of pacemaker insertion, particularly associated with blind subclavian vein puncture, occurring at an average rate of 2%.
Pneumothorax risk warrants access-site caution in pacemaker implantation; leaves open optimal mitigation strategies.
A pacemaker (PM) (or artificial PM, so as not to be confused with the heart's natural PM) is a medical device that uses electrical impulses, delivered by electrodes contracting the heart muscles, to regulate the beating of the heart. The primary purpose of this device is to maintain an adequate heart rate, either because the heart's natural PM is not fast enough, or there is a block in the heart's electrical conduction system. Modern PMs are externally programmable and allow the cardiologist to select the optimum pacing modes for individual patients. Some combine a PM and defibrillator in a single implantable device. PMs can be temporary or permanent. Temporary PMs are used to treat short-term heart problems, such as a slow heartbeat that's caused by a heart attack, heart surgery, or an overdose of medicine. Permanent PMs are used to control long-term heart rhythm problems. A PM can relieve some arrhythmia symptoms, such as fatigue and fainting. A PM also can help a person who has abnormal HRs resume a more active lifestyle. In the current mini review we will focus on the insertion of a PM and the possible pneumothorax that can be caused.
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Kotsakou et al. (2015) conducted a review in Bradyarrhythmia and heart block. Pacemaker insertion was evaluated. Pacemaker insertion is a common procedure for cardiac rhythm dysfunction, with pneumothorax being a major complication that occurs in approximately 2% of cases after subclavian vein puncture.
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