Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · Jan 1978
Inapparent double puncture of the femoral artery and vein. An important complication of temporary cardiac pacing by the transfemoral approach.
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. ⋯ 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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Pacing Clin Electrophysiol · Jan 1978
Case ReportsThe diagnosis of right ventricular perforation by an endocardial pacemaker electrode.
The diagnosis of right ventricular perforation by an endocardial pacemaker electrode should be suspected when failure of pacing occurs without electrode displacement. Although a number of changes occur on the standard electrocardiogram (ECG), none of these are diagnostic. ⋯ Two case reports highlight these changes in the intracardiac electrogram. The first case also illustrates that, with electrode perforation, the ability to sense the intrinsic intracardiac electrical activity may be retained.