Usage of point-of-care Ultrasonography for Rapid Diagnosis of Cardiac Perforation by Pacemaker Lead

Chia-Ching Chen; Sai-Wai Ho

doi:10.4103/jmu.jmu_131_21

Usage of point-of-care Ultrasonography for Rapid Diagnosis of Cardiac Perforation by Pacemaker Lead

J Med Ultrasound. 2022 Jan 6;30(3):221-222. doi: 10.4103/jmu.jmu_131_21. eCollection 2022 Jul-Sep.

Authors

Chia-Ching Chen^{1

2}, Sai-Wai Ho^{1

2}

Affiliations

¹ Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
² Department of Emergency Medicine, Chung Shan Medical University, Taichung, Taiwan.

Abstract

Cardiac perforation after pacemaker placement is a rare form of cardiovascular emergency. A case of an elderly adult undergoing hemodialysis that contributed to this emergency is presented. The history, clinical imaging findings, and surgical procedures for clinical assessment are briefly described. Point-of-care ultrasonography (POCUS) was used to identify, locate, and perform ultrasonography-guided pericardiocentesis. The role of POCUS in cases of tamponade has been emphasized in clinical settings.

Keywords: Cardiac perforation; pacemaker lead; point-of-care ultrasonography.

Publication types

Case Reports