Persistent hypoxia following transvenous lead extraction with excimer laser

An 87-year-old male patient with a 21-year history of pacemaker implanted for sick sinus syndrome underwent transvenous lead extraction with excimer laser for pocket infection. While the surgeon was performing extraction of the second lead, the end-tidal carbon dioxide and peripheral oxygen saturati...

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Bibliographic Details
Published inJournal of clinical anesthesia Vol. 53; p. 39
Main Authors Ida, Mitsuru, Akasaki, Yuka, Kawaguchi, Masahiko
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2019
Elsevier Limited
Subjects
Embolisms
Hypoxia
Lasers
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Summary:An 87-year-old male patient with a 21-year history of pacemaker implanted for sick sinus syndrome underwent transvenous lead extraction with excimer laser for pocket infection. While the surgeon was performing extraction of the second lead, the end-tidal carbon dioxide and peripheral oxygen saturation suddenly decreased from 39 to 15 mm Hg and from 98% to 75%, respectively. [...]the hypoxia following transvenous lead extraction might be caused not only by right ventricular low output, but also by apparent foramen ovale following TR. [...]to recognize the presence of foramen ovale intraoperatively using TEE would help in the diagnosis of postoperative hypoxia.Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.Declarations of interest None.Acknowledgements None.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2018.09.033