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Successful percutaneous extraction of malpositioned pacemaker lead in the left ventricle after proper dabigatran treatment

Farouq, Maiwand LU ; Borgquist, Rasmus LU orcid ; Brandt, Johan LU ; Mörtsell, David LU orcid and Wang, Lingwei LU orcid (2022) In PACE - Pacing and Clinical Electrophysiology 45(9). p.1101-1105
Abstract

Malpositioned pacemaker lead in the left ventricle (LV) is a rare procedural complication, which causes a special risk of thromboembolic events. Hence, prompt identification and early management of misplaced leads inside the LV is critical. Herein, we present a case of malpositioned pacemaker lead with transient ischemic attacks after the pacemaker implantation. The misplaced ventricular lead was discovered during regular echocardiography. Both leads were extracted percutaneously after dabigatran treatment. To our knowledge, this is the first report of uncomplicated percutaneous extraction of an inadvertently placed LV lead after dabigatran treatment. No neurologic events during a follow-up of 4 years.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
malpositioned pacemaker lead, percutaneous lead extraction, thromboembolic complication
in
PACE - Pacing and Clinical Electrophysiology
volume
45
issue
9
pages
5 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:85127550540
  • pmid:35348211
ISSN
1540-8159
DOI
10.1111/pace.14491
language
English
LU publication?
yes
additional info
© 2022 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC.
id
91739393-6a94-415b-81af-7e4323375529
date added to LUP
2022-04-09 21:00:36
date last changed
2024-08-03 04:35:04
@article{91739393-6a94-415b-81af-7e4323375529,
  abstract     = {{<p>Malpositioned pacemaker lead in the left ventricle (LV) is a rare procedural complication, which causes a special risk of thromboembolic events. Hence, prompt identification and early management of misplaced leads inside the LV is critical. Herein, we present a case of malpositioned pacemaker lead with transient ischemic attacks after the pacemaker implantation. The misplaced ventricular lead was discovered during regular echocardiography. Both leads were extracted percutaneously after dabigatran treatment. To our knowledge, this is the first report of uncomplicated percutaneous extraction of an inadvertently placed LV lead after dabigatran treatment. No neurologic events during a follow-up of 4 years.</p>}},
  author       = {{Farouq, Maiwand and Borgquist, Rasmus and Brandt, Johan and Mörtsell, David and Wang, Lingwei}},
  issn         = {{1540-8159}},
  keywords     = {{malpositioned pacemaker lead; percutaneous lead extraction; thromboembolic complication}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{9}},
  pages        = {{1101--1105}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{PACE - Pacing and Clinical Electrophysiology}},
  title        = {{Successful percutaneous extraction of malpositioned pacemaker lead in the left ventricle after proper dabigatran treatment}},
  url          = {{http://dx.doi.org/10.1111/pace.14491}},
  doi          = {{10.1111/pace.14491}},
  volume       = {{45}},
  year         = {{2022}},
}