Key result
Ureteroscopic lithotripsy linked to fatal cardiac arrest from intracardiac thrombi in a pacemaker patient.
Why the study?
Intracardiac thrombosis is an infrequent and fatal complication in patients with an inserted pacemaker, requiring better preoperative diagnostic strategies.
Case Report (n=1)
No
Thrombus-related arrest remains possible in anesthetized pacemaker patients; this case leaves open whether preoperative echocardiography improves safety.
Intracardiac thrombosis is an infrequent and fatal complication in patients with an inserted pacemaker. A patient with an inserted pacemaker scheduled for ureter stone removal experienced cardiac arrest and cardiopulmonary resuscitation under general anesthesia. Echocardiography showed multiple intracardiac thrombi. Preoperative diagnostic workup including echocardiography for the detection of pacemaker lead thrombus, and the need for anticoagulation should be considered in patients with an inserted pacemaker and high-risk factors for thrombosis.
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Chung et al. (2015) conducted a case report in Intracardiac thrombosis and cardiac arrest (n=1). Ureteroscopic lithotripsy under general anesthesia was evaluated on Cardiac arrest and intracardiac thrombosis. A 70-year-old woman with a pacemaker experienced fatal cardiac arrest due to multiple intracardiac thrombi during ureteroscopic lithotripsy under general anesthesia.
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