title: Complications following placement or extraction of endovascular pacemaker and defibrillator leads--cardiothoracic surgical intervention: case reports.
abstract: Complications related to the insertion or removal of permanent pacemakers and implantable cardiac defibrillators are rare events. However, when adverse events occur, their severity may be life threatening. Rapid recognition of a problem followed by prompt consultation with a cardiothoracic surgeon is necessary to stabilize potentially catastrophic events. The immediate availability of surgical instruments as well as a formalized algorithm for management is necessary to control hemorrhagic situations. Four case reports illustrate these points.
authors.affiliation: Lankenau Hospital, Department of Cardiothoracic Surgery, Wynnewood, Pennsylvania, USA.
authors.forename: Louis E
authors.initials: LE
authors.lastname: Samuels
authors.forename: Elena C
authors.initials: EC
authors.lastname: Holmes
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Thomas
authors.forename: Luis
authors.initials: L
authors.lastname: Berrizbeitia
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017147:Defibrillators, Implantable / Q000009:adverse effects; D020878:Device Removal / Q000009:adverse effects*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects; D013903:Thoracic Surgery / Q000379:methods*