Subclavian crush syndrome: a cause of pacemaker lead fracture.

A 48-year-old male with a symptomatic 2:1 atrio-ventricular block and a dual-chamber pacemaker, implanted one year previously, was admitted due to a syncopal episode. Pacemaker malfunction was identified as the cause of syncope. Subclavian crush syndrome was the cause of the pacemaker malfunction. Its incidence, consequences and management are discussed in this report.

[1]  A. Baranchuk,et al.  Left subclavian vein occlusion after pacemaker insertion. , 2008, Cardiovascular journal of Africa.

[2]  M. Aktoz,et al.  Pacemaker lead failure due to crush injury. , 2007, Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology.

[3]  J. Patel,et al.  Lead Failure Due to the Subclavian Crush Syndrome in a Patient Implanted with Both Standard and Thin Bipolar Spiral Wound Leads , 1999, Pacing and clinical electrophysiology : PACE.

[4]  S. Furman,et al.  Lead Fracture in Cephalic Versus Subclavian Approach with Transvenous Implantable Cardioverter Defibrillator Systems , 1996, Pacing and clinical electrophysiology : PACE.

[5]  S. Alder,et al.  New approach to subclavian venipuncture. , 1996, Pacing and clinical electrophysiology : PACE.

[6]  D. Flynn,et al.  A New Approach to Percutaneous Subclavian Venipuncture to Avoid Lead Fracture or Central Venous Catheter Occlusion , 1993, Pacing and clinical electrophysiology : PACE.