Document Detail

A severed pacemaker lead entrapped in a hepatic vein.
MedLine Citation:
PMID:  7686667     Owner:  NLM     Status:  MEDLINE    
Complete lead fracture is a uncommon phenomenon in cardiac pacing. Recently we encountered a patient with a severed lead at routine pacemaker follow-up visit. In this case report, the typical ECG changes and noninvasive pacemaker measurements are discussed. The chest roentgengram showed the position of the proximal part of the lead, but this technique could not establish the exact position of the distal part of the lead. Ultrasound recording of the upper abdomen demonstrated that the distal part of lead was entrapped in the great hepatic vein. Since this position was stable with one end in the right ventricular apex and the other end in a hepatic vein, no further action was undertaken to remove this part of lead. The proximal part of the lead and the pulse generator were explanted. So far the clinical course of the patient has been uneventful. Strategies to remove severed leads are discussed based on a review of the literature.
C J Storm; R van Mechelen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  16     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-08-05     Completed Date:  1993-08-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1349-53     Citation Subset:  IM    
Zuiderziekenhuis, Rotterdam, The Netherlands.
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MeSH Terms
Electrodes, Implanted*
Equipment Failure
Foreign Bodies / etiology*,  therapy
Hepatic Veins*
Pacemaker, Artificial*
Silicone Elastomers*
Time Factors
Reg. No./Substance:
0/Silicone Elastomers

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

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