implant complications

3 types of acute complications
- venous access
- lead placement
- generator insertion
Potential Acute Venous Access Complications
- Pneumothorax
- Hemothorax
- Air embolism
- Perforation of the heart or central vein
- Inadvertent entry into the artery
What is pneumothrorax

Air in plural cavity that can cause a collapsed lung

chest x ray to discover
Hemothorax

Blood in the plural cavity

fix by applying slight pressure, drainage, surgical repair
Air embolism

Air in veins

treat with oxygen, catheter aspiration
Potential lead Placement complications
- brady-tachy arrhthmias
- perforation of the heart
- damage to valves
- damage to lead
Brady-Tachy Arrythmias
- unexpected vagal reaction
- tickle ventricles
- excessive anestesia
Perforations
- Internally (into another chamber)
- Externally (pericardial space)
Pericadiocentesis drainage may be needed
Sign on lead perforation?

Serve Sudden Hypotention
Main Delayed Implant Complications
- Patient Condition
- Lead Placement
- Generator Insertion
Twiddlers Syndrome
- Presents undersensing or oversensing
- x-ray
Potential Lead-Related Delayed Complications
- Micro or macro lead dislodgement
- Fibrosis at electrode-myocardial interface
- infection
- lead failure
- pericarditis
Delayed Generator-Related problems
- Pain
- Erosion
- Infection of pocket
- migration
- premature failure
Risk of Infection increases up to ___ times with every reimplant

5 times

Author

jordan1128

242232

Card Set

implant complications

Description

implant complication

Updated

2013-10-22T23:53:23Z

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