TY - JOUR
T1 - Residual fibrous tissue floating in the right atrium after percutaneous pacemaker lead extraction
T2 - An unusual complication early detected by intracardiac echocardiography
AU - Rizzello, Vittoria
AU - Russo, Antonio Dello
AU - Casella, Michela
AU - Biddau, Roberto
PY - 2008/7/4
Y1 - 2008/7/4
N2 - Extraction of pacemaker leads represents the optimal therapy in patients with endocarditis involving the pacemaker leads. The percutaneous approach is becoming popular. However, complications of percutaneous extraction are not rare and incomplete removal of the vegetations with embolization in the pulmonary arteries has been described. This case report describes for the first time a case of incomplete removal of the fibrous sheath covering the lead, with residual tissue floating in the right atrium after pacemaker/ICD extraction. ICE monitoring was essential for early detection and correct diagnosis of this complication.
AB - Extraction of pacemaker leads represents the optimal therapy in patients with endocarditis involving the pacemaker leads. The percutaneous approach is becoming popular. However, complications of percutaneous extraction are not rare and incomplete removal of the vegetations with embolization in the pulmonary arteries has been described. This case report describes for the first time a case of incomplete removal of the fibrous sheath covering the lead, with residual tissue floating in the right atrium after pacemaker/ICD extraction. ICE monitoring was essential for early detection and correct diagnosis of this complication.
KW - Complication
KW - Intracardiac echocardiography
KW - Pacemaker lead extraction
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U2 - 10.1016/j.ijcard.2007.04.047
DO - 10.1016/j.ijcard.2007.04.047
M3 - Article
C2 - 17588687
AN - SCOPUS:44649099455
VL - 127
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 2
ER -