Key result
Point-of-care ultrasonography successfully and rapidly identified a huge pericardial effusion with right ventricular collapse and a protruding pacemaker lead, enabling emergent surgical repair.
Why the study?
Cardiac perforation following pacemaker placement is a rare cardiovascular emergency requiring rapid assessment.
Case Report (n=1)
Highlights the utility of point-of-care ultrasonography for the rapid diagnosis and management of life-threatening cardiac perforation following pacemaker placement.
May support bedside POCUS in post-pacemaker perforation; leaves open generalizability from single case report.
Cardiac perforation after pacemaker placement is a rare form of cardiovascular emergency. A case of an elderly adult undergoing hemodialysis that contributed to this emergency is presented. The history, clinical imaging findings, and surgical procedures for clinical assessment are briefly described. Point-of-care ultrasonography (POCUS) was used to identify, locate, and perform ultrasonography-guided pericardiocentesis. The role of POCUS in cases of tamponade has been emphasized in clinical settings.
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Chen et al. (2022) conducted a case report in Cardiac perforation by pacemaker lead (n=1). Point-of-care ultrasonography (POCUS) was evaluated on Diagnosis of cardiac perforation and pericardial effusion. Point-of-care ultrasonography successfully and rapidly identified a huge pericardial effusion with right ventricular collapse and a protruding pacemaker lead, enabling emergent surgical repair.
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