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A wrong electrode placement
Ubicación errónea de un electrodo
Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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Padilla-Morales, A. Domínguez" "autores" => array:2 [ 0 => array:4 [ "nombre" => "V." "apellidos" => "Padilla-Morales" "email" => array:1 [ 0 => "vicen_pm@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Domínguez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen del Rocío, Sevilla, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ubicación errónea de un electrodo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 864 "Ancho" => 975 "Tamanyo" => 112752 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anteroposterior chest radiograph showing the electrode of the temporary pacemaker lodged in the pericardial sac (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 73-year-old woman presented to the emergency department with symptomatic third-degree atrioventricular block. Her only history of note was high blood pressure and hypothyroidism. A temporary pacemaker was implanted via the right subclavian artery under radioscopic vision and the patient was admitted to the PACU. Postoperative evolution was uneventful, despite the need for a high pacing threshold. A follow-up anteroposterior chest radiograph was performed that showed the pacemaker electrode lodged in the pericardial sac (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A subsequent chest ultrasound and computerised axial tomography study showed that the pacemaker cable had crossed the superior vena cava and entered the pericardial sac, causing moderate pericardial effusion without collapse of right side cavities. A follow-up ultrasound revealed an increase in pericardial effusion with onset of right ventricular collapse. The patient underwent median sternotomy, the temporary pacemaker lead was removed and a definitive pacemaker was placed without incident.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Padilla-Morales V, Domínguez A. Ubicación errónea de un electrodo. Rev Esp Anestesiol Reanim. 2018;65:180.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 864 "Ancho" => 975 "Tamanyo" => 112752 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anteroposterior chest radiograph showing the electrode of the temporary pacemaker lodged in the pericardial sac (arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006500000003/v3_201803240409/S2341192918300088/v3_201803240409/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006500000003/v3_201803240409/S2341192918300088/v3_201803240409/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192918300088?idApp=UINPBA00004N" ]
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| 2018 April | 1 | 0 | 1 |
