Document Detail


Pulmonary arterial embolization of pacemaker lead electrode tip.
MedLine Citation:
PMID:  16884517     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Complications with extraction of abundant endovascular systems increase with time since implantation. As the number of implanted devices increases, successful management of complications needs to be disseminated. We present a 46-year-old woman with endovascular leads placed 15 years previously requiring extraction. Using laser-assistance the leads were removed, although the passive lead tips were unable to be extracted, and were retained in the superior vena cava. One lead tip embolized to the distal pulmonary bed within 24 hours of her operative procedure. Computed tomography and pulmonary arteriography suggested a near immediate thrombogenic process. A multidisciplinary approach was utilized to identify management strategies that allowed for a satisfactory patient outcome.
Authors:
Robert E Eckart; Tomasz W Hruczkowski; Michael J Landzberg; Alyson Ames; Laurence M Epstein
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  29     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-03     Completed Date:  2006-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  784-7     Citation Subset:  IM    
Affiliation:
Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. robert.eckart@us.army.mil
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / therapeutic use
Coronary Angiography
Device Removal
Electrocardiography
Electrodes, Implanted / adverse effects*
Female
Humans
Middle Aged
Pacemaker, Artificial / adverse effects*
Pulmonary Artery
Pulmonary Embolism / drug therapy,  etiology*,  radiography
Tomography, X-Ray Computed
Vena Cava, Superior
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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