Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Aug 28;5(11):552-554.
doi: 10.1016/j.hrcr.2019.08.012. eCollection 2019 Nov.

Malpositioned endocardial left ventricular pacing lead extraction with transcatheter cerebral embolic protection in the setting of multiple prior embolic strokes

Affiliations
Case Reports

Malpositioned endocardial left ventricular pacing lead extraction with transcatheter cerebral embolic protection in the setting of multiple prior embolic strokes

Amit Thosani et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Embolic stroke; Left ventricular lead extraction; Malpositioned left ventricular pacing lead; Pacing lead thrombus; Transcatheter cerebral embolic protection.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Chest radiograph of single-chamber pacemaker; a large hiatal hernia is present with rightward displacement of the cardiac silhouette.
Figure 2
Figure 2
A: Transthoracic echocardiogram showing the pacing lead in the left ventricle. B: Transesophageal echocardiogram showing the pacing lead crossing retrograde across the aortic valve into the left ventricle.
Figure 3
Figure 3
Transcatheter cerebral embolic protection device. Filters are positioned within the brachiocephalic (BC) and left common (LC) carotid arteries prior to left ventricular lead extraction.

References

    1. Stillman M.T., Richards A.M. Perforation of the interventricular septum by transvenous pacemaker catheter: diagnosis by change in pattern of depolarization on the electrocardiogram. Am J Cardiol. 1969;24:269–273. - PubMed
    1. Ohlow M.A., Roos M., Lauer B., Von Korn H., Geller J.C. Incidence, predictors, and outcome of inadvertent malposition of transvenous pacing or defibrillation lead in the left heart. Europace. 2016;18:1049–1054. - PubMed
    1. Van Gelder B.M., Bracke F.A., Oto A. Diagnosis and management of inadvertently placed pacing and ICD leads in the left ventricle: a multicenter experience and review of the literature. Pacing Clin Electrophysiol. 2000;23:877–883. - PubMed
    1. Sharifi M., Sorkin R., Sharifi V., Lakier J.B. Inadvertent malposition of a transvenous-inserted pacing lead in the left ventricular chamber. Am J Cardiol. 1995;76:92–95. - PubMed
    1. Kapadia S., Kodali S., Makkar R. Protection against cerebral embolism during transcatheter aortic valve replacement. J Am Coll Cardiol. 2017;69:367–377. - PubMed

Publication types

LinkOut - more resources