Residual fibrous tissue floating in the right atrium after percutaneous pacemaker lead extraction: An unusual complication early detected by intracardiac echocardiography

Vittoria Rizzello; Antonio Dello Russo; Michela Casella; Roberto Biddau

doi:10.1016/j.ijcard.2007.04.047

Residual fibrous tissue floating in the right atrium after percutaneous pacemaker lead extraction: An unusual complication early detected by intracardiac echocardiography

Vittoria Rizzello, Antonio Dello Russo, Michela Casella, Roberto Biddau

Centro Cardiologico Monzino

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Journal	International Journal of Cardiology
Volume	127
Issue number	2
DOIs	https://doi.org/10.1016/j.ijcard.2007.04.047
Publication status	Published - Jul 4 2008

Keywords

Complication
Intracardiac echocardiography
Pacemaker lead extraction

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.ijcard.2007.04.047

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Residual fibrous tissue floating in the right atrium after percutaneous pacemaker lead extraction : An unusual complication early detected by intracardiac echocardiography. / Rizzello, Vittoria; Russo, Antonio Dello; Casella, Michela; Biddau, Roberto.

In: International Journal of Cardiology, Vol. 127, No. 2, 04.07.2008.

Research output: Contribution to journal › Article › peer-review

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abstract = "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.",

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AU - Biddau, Roberto

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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.

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Residual fibrous tissue floating in the right atrium after percutaneous pacemaker lead extraction: An unusual complication early detected by intracardiac echocardiography

Abstract

Keywords

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