• Users Online: 57
  • Print this page
  • Email this page
Year : 2022  |  Volume : 12  |  Issue : 4  |  Page : 189-191

Internal jugular vein perforation due to blind temporary pacing lead insertion: Pitfall of a blind procedure

Department of Cardiology, LPS Institute of Cardiology, GSVM, Kanpur, Uttar Pradesh, India

Correspondence Address:
Dr. Najeeb Ullah Sofi
Department of Cardiology, LPS Institute of Cardiology, GSVM, Kanpur
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jicc.jicc_18_22

Rights and Permissions

Temporary pacing lead is placed through the internal jugular, subclavian or femoral vein under fluoroscopic, echocardiographic, or electrocardiographic guidance. However, in most of the developing world, this procedure is done without fluoroscopic guidance. Blind procedures are known to be associated with more complications as compared to guided procedures. Here, we report a case of the right internal jugular vein perforation while placing the temporary pacing lead in an 80-year-old male patient who had permanent pacemaker implantation done 10 years back and had developed right subclavian and brachiocephalic vein stenosis. Clinicians need to be aware of this rare complication and preferably do these procedures under fluoroscopic guidance and avoid an overzealous approach if the pacing lead does not pass through easily. Patients who had undergone any procedure through their central venous system, especially with retained catheters and pacing leads in situ in the past should undergo a venogram before planning any reintervention from the ipsilateral side to avoid such complications.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded11    
    Comments [Add]    

Recommend this journal