Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient
Abstract Background Leadless pacemaker was a promising innovation than traditional transvenous pacemaker, the procedural complications were prone to be bleeding-related. However, very few reports also concerned about the thrombus formation during the procedure. Case presentation A hemodialysis patie...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-021-02318-6 |
| _version_ | 1819292169299558400 |
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| author | Qiang Chen Yong Jiang Ma Chun Hong Zhang Li Wei Zhang |
| author_facet | Qiang Chen Yong Jiang Ma Chun Hong Zhang Li Wei Zhang |
| author_sort | Qiang Chen |
| collection | DOAJ |
| description | Abstract Background Leadless pacemaker was a promising innovation than traditional transvenous pacemaker, the procedural complications were prone to be bleeding-related. However, very few reports also concerned about the thrombus formation during the procedure. Case presentation A hemodialysis patient with diabetic gangrene of right foot suffered from catheter-related thrombosis during leadless pacing, resulting in failure of recapture the pacemaker. A low activated clotting time (ACT) level of 104 s confirmed the insufficiency of anticoagulation. Finally, the whole delivery catheter had to be removed from the delivery sheath, another new pacemaker system was applied and successfully implanted after adjusting the ACT level to 248 s. Conclusion Catheter-related thrombosis could be a large obstacle for leadless pacemaker implantation. In addition to routine anticoagulation, ACT monitoring might be necessary during the procedure. |
| first_indexed | 2024-12-24T03:50:15Z |
| format | Article |
| id | doaj.art-ef4c04b893a949e39a02ee4e2eb279e8 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-24T03:50:15Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-ef4c04b893a949e39a02ee4e2eb279e82022-12-21T17:16:37ZengBMCBMC Cardiovascular Disorders1471-22612021-10-012111510.1186/s12872-021-02318-6Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patientQiang Chen0Yong Jiang Ma1Chun Hong Zhang2Li Wei Zhang3Department of Cardiology, The Sixth Medical Center of Chinese PLA General HospitalDepartment of Cardiology, The Sixth Medical Center of Chinese PLA General HospitalDepartment of Cardiology, The Sixth Medical Center of Chinese PLA General HospitalDepartment of Cardiology, The Sixth Medical Center of Chinese PLA General HospitalAbstract Background Leadless pacemaker was a promising innovation than traditional transvenous pacemaker, the procedural complications were prone to be bleeding-related. However, very few reports also concerned about the thrombus formation during the procedure. Case presentation A hemodialysis patient with diabetic gangrene of right foot suffered from catheter-related thrombosis during leadless pacing, resulting in failure of recapture the pacemaker. A low activated clotting time (ACT) level of 104 s confirmed the insufficiency of anticoagulation. Finally, the whole delivery catheter had to be removed from the delivery sheath, another new pacemaker system was applied and successfully implanted after adjusting the ACT level to 248 s. Conclusion Catheter-related thrombosis could be a large obstacle for leadless pacemaker implantation. In addition to routine anticoagulation, ACT monitoring might be necessary during the procedure.https://doi.org/10.1186/s12872-021-02318-6Leadless pacemakerThrombosisAnticoagulantHemodialysisCase report |
| spellingShingle | Qiang Chen Yong Jiang Ma Chun Hong Zhang Li Wei Zhang Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient BMC Cardiovascular Disorders Leadless pacemaker Thrombosis Anticoagulant Hemodialysis Case report |
| title | Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient |
| title_full | Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient |
| title_fullStr | Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient |
| title_full_unstemmed | Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient |
| title_short | Insufficient procedural anticoagulation during leadless pacing led to catheter-related thrombosis in a hemodialysis patient |
| title_sort | insufficient procedural anticoagulation during leadless pacing led to catheter related thrombosis in a hemodialysis patient |
| topic | Leadless pacemaker Thrombosis Anticoagulant Hemodialysis Case report |
| url | https://doi.org/10.1186/s12872-021-02318-6 |
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