Extreme Intracardiac Coiling of a Transvenous Pacemaker; A Case Report

We report an unusual complication of transvenous pacing: extreme coiling of a pacemaker catheter, which formed a redundant, twisted loop protruding into the right ventricular outflow tract. This may be a result of “tividdling” (rotation) of the pacemaker generator by the patient and/or inadequate fi...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 1985-05, Vol.8 (3), p.360-363
Main Authors: KOUBA, CRAIG, LIU, DEBRA, EVERETT, GEORGE, KERBER, RICHARD E.
Format: Article
Language:English
Subjects:
Adult
Electrocardiography
electrode catheters
Electrodes, Implanted
Equipment Failure
Female
Heart Block - physiopathology
Heart Block - therapy
Heart Conduction System - physiopathology
Heart Failure - physiopathology
Heart Failure - therapy
Humans
Pacemaker, Artificial
pocemaker cotheter complications
transvenous pacemaker
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Summary:We report an unusual complication of transvenous pacing: extreme coiling of a pacemaker catheter, which formed a redundant, twisted loop protruding into the right ventricular outflow tract. This may be a result of “tividdling” (rotation) of the pacemaker generator by the patient and/or inadequate fixation of the catheter at the venous entry site. Careful fixation of the generator to the venous entry site within the subcutaneous pocket may prevent such a complication.
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.1985.tb05771.x