Key result
Massive saline diffusion during shoulder arthroscopy displaces pacemaker leads causing transient loss of ventricular capture.
Population
89-year-old man with a dual-chamber pacemaker undergoing right-sided elective shoulder arthroscopy
Design
Case_report
Follow-up
Perioperative period (up to 3 hours after surgery)
Authors
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Requires caution with fluid irrigation in pacemaker patients during shoulder arthroscopy; leaves open incidence and prevention strategies.
Case Report (n=1)
No
Massive subcutaneous fluid extravasation during shoulder arthroscopy can cause mechanical displacement of a pacemaker generator and lead traction, leading to transient loss of capture.
Samain et al. (2000) conducted a case report in Pacemaker malfunction during shoulder arthroscopy (n=1). Shoulder arthroscopy with joint irrigation was evaluated on Loss of ventricular capture. Massive subcutaneous diffusion of saline during shoulder arthroscopy caused generator displacement and traction on pacing leads, resulting in transient loss of ventricular capture.
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