How to Avoid and Manage CIED Implantation-Related Complications-How to Avoid a Hole in the Lung? Using Anatomy, Micropuncture needles, Ultrasound and more (Presenter: Samy C. Elayi, MD, PhD)

How to Avoid a Hole in the Lung? Using Anatomy, Micropuncture needles, Ultrasound and more (Presenter: Samy C. Elayi, MD, PhD)

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Video Transcription

Video Summary

The speaker discusses the incidence of pneumothorax during cardiac implantable electronic device (CIED) implants. Pneumothorax is an inner leak in the pleural cavity that can occur during venous access. It can be asymptomatic or life-threatening, and can increase morbidity, length of stay, costs, and mortality. The speaker identifies clinical predictors of pneumothorax, such as age, sex, and medical conditions like COPD, and procedural predictors like the type of venous access used. They discuss three types of venous access (subclavian, cephalic, and axillary) and their respective risks of pneumothorax. The speaker concludes that axillary vein access, using X-ray or ultrasound guidance, has greatly reduced the occurrence of pneumothorax.

Meta Tag

Lecture ID 4514

Location Room 155

Presenter Samy C. Elayi, MD, PhD

Role Invited Speaker

Session Date and Time May 10, 2019 4:30 PM - 6:00 PM

Session Number S-088

Keywords

pneumothorax

cardiac implantable electronic device

CIED implants

clinical predictors

procedural predictors