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Air embolism during pacemaker implantation is a rare but potentially fatal complication.1 ,2 The creation of negative intrathoracic pressure sucking up air seems to be the most common mechanism of this event.3 Air embolism during the use of sheaths with haemostatic valves is a very rare occurrence.
An 80-year-old man was undergoing implantation of cardiac resynchronisation therapy device (BIOTRONIK Stratos LV-T). Under fluoroscopy, a 7 French peel-away introducer with a haemostasis …
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