Key result
Intraarterial balloon compression via the brachial artery successfully achieved hemostasis following the removal of an inadvertently placed pacemaker lead from the ascending aorta.
Case Report (n=1)
Intraarterial balloon compression via the brachial artery is a viable method to achieve hemostasis when removing an inadvertently placed arterial pacemaker lead.
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May offer a bailout hemostasis option in rare arterial lead malpositions; leaves open prospective validation before clinical adoption.
One of the possible complications of subclavian vein puncture is entry into the subclavian artery. If this is not recognized, a pacemaker lead may be placed arterially. Since this may lead to systemic emboli, the pacemaker lead must be removed. This case report describes a patient in whom an atrial lead was inadvertently placed in the ascending aorta, where it had good sensing values but poor atrial capture threshold values. This lead was subsequently removed and hemostasis was achieved with intraarterial balloon compression via the brachial artery.
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Ophuis et al. (1998) conducted a case report in Inadvertently placed pacemaker lead in the ascending aorta (n=1). Intraarterial balloon compression via the brachial artery was evaluated on Hemostasis after lead removal. Intraarterial balloon compression via the brachial artery successfully achieved hemostasis following the removal of an inadvertently placed pacemaker lead from the ascending aorta.
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