Key result
Inapparent double puncture of the femoral artery and vein during transfemoral temporary cardiac pacing is a complication that may remain undiagnosed until the rigid outer sheath is withdrawn.
Case Report (n=3)
Inapparent double puncture of the femoral artery and vein is an important complication of transfemoral temporary cardiac pacing, requiring immediate withdrawal of the rigid outer sheath to diagnose.
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Vigilance for occult vascular injury is warranted on sheath withdrawal in temporary pacing; this case leaves open its true incidence and prevention.
An important complication of temporary cardiac pacing by the transfemoral approach. This report describes three cases of inapparent double puncture of the femoral artery and vein as a complication of the transfemoral approach for temporary cardiac pacing. This complication may lead to the passage of a pacing catheter to the right ventricle by way of the femoral artery and vein and may remain undiagnosed until the rigid outer sheath of the introducer set is withdrawn over the pacing catheter. Therefore, we recommend immediate withdrawal of the rigid outer sheath as soon as the catheter lies freely in the iliac vein or the inferior vena cava. If double puncture has occurred, arterial blood will leak around the pacing catheter. Control of arterial bleeding by local compression should not be attempted without removal of the pacing catheter.
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Falkoff et al. (1978) conducted a case report in Temporary cardiac pacing (n=3). Transfemoral approach for temporary cardiac pacing was evaluated on Inapparent double puncture of the femoral artery and vein. Inapparent double puncture of the femoral artery and vein during transfemoral temporary cardiac pacing is a complication that may remain undiagnosed until the rigid outer sheath is withdrawn.
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