Massive transient pulmonary air embolism during pacemaker implantation under mild sedation: An unrecognized hazard of snoring

Yoav Turgeman, Dante Antonelli, Shaul Atar, Tiberio Rosenfeld

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

We present a case of a massive pulmonary air embolism during permanent pacemaker lead implantation under mild sedation in a 73-year-old woman. We used a peel-away sheath that is devoid of a hemostatic valve. The air embolism occurred after deep inspiration associated with loud snoring sounds and resolved after short chest massage and administration of adrenaline. Temporary closure of the intravenous entrance route of the peal-away sheath before inserting the lead may prevent this potentially lethal complication.

Original languageEnglish
Pages (from-to)684-685
Number of pages2
JournalPACE - Pacing and Clinical Electrophysiology
Volume27
Issue number5
DOIs
StatePublished - May 2004
Externally publishedYes

Keywords

  • Air embolism
  • Pacemaker implantation
  • Snoring

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