Pacemaker procedure blood clots

Common Questions and Answers about Pacemaker procedure blood clots

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I have A-FIb, I have been on coumadin for over five years, I have cardiomyopathy, I have a pacemaker/defibrillator. Recently I had a CAT-scan that indicated a blood clot around the pacemaker wires in a vein leading to the superior vena cava vein back to the heart. I had symptoms: swelling in the face and neck, extended veins on the chest, etc. I was in the hospital for several days and the symptoms above subsided.
Therapy varies from blood thinning agents (heparin, coumadin) , thrombolysis or percutaneous angioplasty, with or without stent or open surgery procedure. With blood clots there is a risk of spreading to lungs, heart or the brain. Your friend should get a ultrasound, CT scan to find out the size and the location of the clot. Do let us know if you need any other information.
Often prior to an ablation a Dr will request a TEE (transesopogeal echocardiograph) This procedure requires the insertion of a tube through your mouth and down your throat so that they wan insert a probe and do an echo right next to the heart to check for blood clots. They numb you out to do this and it is really no big deal although you may experience a sore throat for a couple day.
Low energy. Should I undergoe a full maze procedure (little confidence) or a pacemaker. My heart rate is usually low 40's when not in tachycardia. Would my ventrical beat keep me alive if pacemaker failed. Is this risky?
Who will be on hand to support the team if problems arise? Do they use TEE to monitor for blood clots during the procedure? What are the repercussions of getting pulmonary vein stenosis, and how is it dealt with? How do they do it? How will the doctor and support staff be taking care of me after the procedure? How does the doctor assess his success rate? When faced with challenges, who does he get to help him? If I can think of more, I'll put em in here.
I have been in AFib since that time and take a beta blocker to hold my heart rate down to below 90 for resting HR and I take Warfarin to mitigate the blood clots and strokes. I have never had a discussion involving AV node ablation and a pace maker. What AFib symptoms would cause you to consider a this action? I assume you have symptoms and/or risks that can not be ignored. I would discuss with a doctor what else is possible, for example an ablation.
Are you on antiplatelet medication? I assume based on having a pacemaker there are inherent risks of blood clots and you are taking antiplatelet medication. It seems the biggest problem with tats and a heart condition are the blood thinners involved. A good artist will not tattoo anyone on aspirin...excessive bleeding washes out the ink and there are other technical problems.
I read one of your posts about complications of blood clots. Does the blood clot risk exist during the procedure and/or for some time after and how bad is that risk? Do they give a blood thinner prior to ablation to avoid the problem? I cannot seem to find much info on the subject. Also, do you think I am just reading way to much into this as I have some fears of the related complications with ablation.
Since I have the factor V issue, could a blood clot occur during or after the procedure? Or, even worse, a pulmonary embolism? Also, is this invasive procedure the best way to go? He advised me I can try a beta blocker "Sectral" while awaiting for his schedule to open up for the EP Study (which is 8 weeks away). If the beta blocker works, is the EP study necessary and can you stay on a beta blocker without any serious consequences for long term use.
This situation emanated from the diagnosis of pulmonary emboli, with significant blood clots in the lung. Hospitalization was one week. (Feb. 2003)The following month she was readmitted to the hospital with congestive heart failure. (March 2003) Her hospitalization was again one week. Her heart condition could not be determined through a catheterization procedure as our local cardiologist said it could not be performed until her lung condition had improved.
My EP had me on it and he also called for a TransEsophageal Echo Cardiogram just before the ablation to make ABSOLUTELY CERTAIN I had no clots hiding anywhere to be knocked loose during the procedure. Clots can be life threatening. If one comes out of the right side of your heart it can/likely will head straight for the lungs. Can you spell pulmonary embolism? If a clot comes out of the left side of your heart it can go anywhere and cause an embolism/thrombosis.
I got a pacemaker in mid-June on the left side. After the initial swelling subsided, I noticed my left arm was swollen and the left side of my neck and the back of my left should were tight and stiff. That continues now two months after the procedure. I had a doppler ultrasound on Thursday that revealed no clots. My electrophysiologist saw me and said, "I see that it is swollen." (The forearm and bicep are uniformly about an inch larger on the left side.
If the arrhythmia is due to atrial fibrillation, blood thinners may also be used to reduce the risk of blood clots. Some patients may have a permanent pacemaker placed. However, pacemakers are used less often today than they were in the past. When blood flow out of the heart is severely blocked, an operation called surgical myectomy may be done. This procedure cuts and removes a portion of the thickened part of the heart. Patients who have this procedure often show significant improvement.
Do not worry! Of course there are statistics, but they are kind of ‘lies’ after all, they can get statistic about everything and have the totally opposite outcome depending what they want to proof. We all learn that with age and with a little common sense, but sure we still have a naive side of us and believe we "need" ICD. Or other devices based on statistics that was made with the agenda to get people to believe they need it, good for the business, and it is a big business.
They did a chest xray and another kind of nuclear test to check for blood clots. Everything was clear. The dr said it could be where my muscles were still sore and that's why it hurt to breath. I felt a little better and much relieved after leaving the hospital. Now it's all back again. My neck also hurts when I bend down. Got a call into the dr but no call back today. Probably tomorrow. Just wondering if there are any opinions as to what's going on.
Have you discussed any treatment with your doctor yet?
Your doctors could probably consider re-stenting or repeat angioplasty, if your wife can withstand the procedure. They can also try using thrombolytics (drugs that dissolve blood clots) if the obstructing lesion has a lot of thrombotic material.
You can live with a-fib. You just have to be on blood thinners to keep clots from forming. Keep us posted.
My question is what would cause my grafts to become blocked with blood clots so soon? What would cause the blood clots? Is developing collateral arteries my best hope going forward? Thank you.
The SVC was completely occluded with very poor collateral vein development. It took 7 months to diagnose because young people don't get blood clots. I am 39. Current theory: the clot was because of the port I had at the time. I am immune deficient not malignant with anything. They reconstructed the SVC with a piece of my pericardium. One of the echos done during a bout of post op pneumonia shows a possible valve issue.
Two days later I rushed him to the hospital (5 minutes from my house), he was in full cardiac arrest and pulmonary shock. The doctors told me blood clots had formed in the stents resulting in a 100% blockage. They asked me if my father had been taking aspirin, I told them no, he was on Plavix, and no one instructed him/me about taking aspirin. The doctors cleared the blockage and replaced the stents... but my dad never woke up. After 2 weeks on life support, his body gave up the fight.
(1) thrombus formation, ie, blood clots due to the procedure could result in stroke, and (2) pulmonary vein stenosis, ie, thickening of the pulmonary vein, which is generally temporary but could pose problems. Other risks include those related to the mechanics of the procedure: perforation of the pulmonary vein, infection, and inappropriate ablation of the SV node (thus requiring a pacemaker).
The filter is placed through the groin into the femoral artery into the superior vena cava to filter clots from going to the brain (stroke) or heart (heart attack) or lungs (pulmonary embolism). Clots form when blood pools in the atrium from the heart not kicking out enough blood from it.
Also, ensure you empty your bladder about 5 mins before the procedure. With all that dye in your blood, your kidneys start to work overtime. One thing I can promise you is that you only feel one slight discomfort. This is when they put the anaesthetic into your inner thigh. This stings a little bit but is not overwhelming. You then seem to wait to see if you feel them make the incision, but you suddenly realise they are already inside and up to the heart.
I was also told to come in a day before and it turned out they wanted to do a TEE (Trans Eusophogeal Echo - scuse the spelling there). Good thing I had it done because it turned out I had blood clots growing all over my pacemaker leads and if they had gone ahead with the ablation at that time there would have been a very good chance of me having a stroke! Good thing they decided to get me in for the pre-ablation tests!
Therefore require a brief period of blood thinning during the catheter ablation procedure is required to prevent clots from forming on the ablation catheter that might cause a stroke. A fast acting anticoagulant, probably Heparin is commonly used. It has a very short half life, and is metabolized in several hours and is gone. Check with your physician and see if you can choose general sedation. Mine actually prefers to do this as opposed to twilight sedation.
(meds to icrease your clotting time) because chronic a-fib can lead to the formation of clots. If those clots get out of the heart bad things happen. If you are not already under a Cardiologist's care I urge your to find one and start working with them. A-fib is not of itself lethal but it can have lethal effects. FYI, I was diagnosed with PAT in 1998. I went through several different rhythm meds. Untimately in the fall of '07 I was found to be in continuous a-fib.
People probably should not have EECP if they have certain types of valvular heart disease (especially aortic insufficiency), or if they have had a recent cardiac catheterization, an irregular heart rhythm, severe hypertension, significant blockages in the leg arteries, or a history of deep venous thrombosis (blood clots in the legs). For anyone else, however, the procedure appears to be quite safe.
The downside once you have a stent, you become vulnernable to blood clots and need plavix for a year or more, and there is evidence the medication may be needed for a lifetime to prevent clots that could be fatal. I have a 72% blocked coronary vessel and a completely blocked vessel, and I do well with medication...others have the same experience but don't voice their opinion because the forum attracts individuals with a medical problem and the forum opinion is biased.
When the left atrium is not beating (during a-fib), the clots usually just stay where they are, but when the atria are beating again, clots may break off the walls and follow the blood stream. Risk of clots increase after 48 hours of untreated a-fib, which is why you need 3 (4 in Norway) weeks on anticoagulants before cardioversion. Often a TEE (esophagal echocardiography) is performed to check if clots have formed in the atria before cardioversion.
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