Successful Percutaneous Extraction of a Chronic Left Ventricular Pacing Lead

This report describes a patient with a chronic endocardial left ventricular pacing lead. To avoid the risk of future embolization, it was felt that the lead should be removed and right ventricular pacing established. The lead was carefully evaluated by transesophageal echocardiography to exclude adh...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 1991-10, Vol.14 (10), p.1448-1451
Main Authors: TROHMAN, RICHARD G., WILKOFF, BRUCE L., BYRNE, TIMOTHY, COOK, SEBASTIAN
Format: Article
Language:English
Subjects:
Echocardiography - methods
Electrocardiography
Electrodes, Implanted
Female
Foreign-Body Migration - therapy
Heart Ventricles
Heparin - therapeutic use
Humans
lead extraction
left ventricle
Middle Aged
Pacemaker, Artificial
Thromboembolism - prevention & control
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Summary:This report describes a patient with a chronic endocardial left ventricular pacing lead. To avoid the risk of future embolization, it was felt that the lead should be removed and right ventricular pacing established. The lead was carefully evaluated by transesophageal echocardiography to exclude adherent thrombus. Successful percutaneous lead extraction was accomplished without sequelae, thus avoiding the morbidity of a thoracotomy.
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.1991.tb04063.x