Preview

Комплексные проблемы сердечно-сосудистых заболеваний

Расширенный поиск

Automatic Internal Cardiac Defibrillator Lead in the Left Ventricle

Полный текст:

Аннотация

Introduction: Inadvertent insertion of a pacemaker/defibrillator lead into the left ventricle is an uncommon event, and its actual incidence is probably unknown. It may be underestimated and underreported because of a possible asymptomatic course.

Case presentation: We report a case of a 63-year-old Caucasian man with a malpositioned ICD lead into the left ventricle via a subclavian artery that was not suspected during implantation and went undiagnosed for 3 months without complications. The patient remained asymptomatic. He underwent an uncomplicated removal of the device and subsequent placement of a new ICD in the right ventricle.

Conclusions: Inadvertent insertion of a pacemaker/defibrillator lead into the left ventricle is a potentially dangerous complication that may occur under fluoroscopic guidance and may be overlooked by routine device interrogation. Careful attention to lead position on CXR posteroanterior and lateral views as well as 12-lead ECG in ventricular paced (magnet mode) after device implantation is recommended.

Об авторах

S. Barbarash

Россия

Address: 888 S Rancho Dr. Las Vegas, NV 89106 Tel. (702) 877-8600



A. Tong

Россия


Список литературы

1. Bauersfeld UK, Thakur RK, Ghani M, Yee R, Klein GJ: Malposition of transvenous pacing lead in the left ventricle: radiographic findings. AJR Am J Roentgenol 1994, 162:290– 292.

2. Bollinger BC, Heidenreich J: From cardiac arrhythmias. In Current Diagnosis & Treatment Emergency. 6 edition. Edited by: Stone CK, Humphries RL. New York: Lange Medical Books/McGraw-Hill; 2008:578–607.

3. Schiavone WA, Castle LW, Salcedo E, Graor R: Amaurosis fugax in a patient with a left ventricular endocardial pacemaker. Pacing Clin Electrophysiol 1984, 7:288–292.

4. Villanueva FS, Heinsimer JA, Burkman MH, Fananapazir L, Halvorsen RA Jr, Chen JT: Echocardiographic detection of perforation of the cardiac ventricular septum by a permanent pacemaker lead. Am J Cardiol 1987, 59:370–371.

5. Ormond RS, Rubenfire M, Anbe DT, Drake EH: Radiographic demonstration of myocardial perforation by permanent endocardial pacemakers. Radiology 1971, 98:35–37.

6. Meyer JA, Millar K: Malplacement of pacemaker catheters in the coronary sinus: recognition and clinical significance. J Thorac Cardiovasc Surg 1969, 57:511–518.

7. Mazzetti H, Dussaut A, Tentori C, Dussaut E, Lazzari JO: Transarterial permanent pacing of the left ventricle. Pacing Clin Electrophysiol 1990, 13:588–592.

8. Konings TC, Koolbergen DR, Bouma BJ, Groenink M, Mulder BJ: Iatrogenic Perforation of the posterior mitral valve leaflet: a rare complication pacemaker lead placement. J Am Soc Echocardiogr 2008, 21:512.e5–512.e7.

9. Van Erckelens F, Sigmund M, Lambertz H, Kreis A, Reupcke C, Hanrath P: Asymptomatic left ventricular malposition of a transvenous pacemaker lead through a sinus venosus defect: follow-up over 17 years. Pacing Clin Electrophysiol 1991, 14:989–993.

10. Van Gelder BM, Bracke FA, Oto A, Yildirir A, Haas PC, Seger JJ, Stainback RF, Botman KJ, Meijer A: Diagnosis and management of inadvertently placed pacing and ICD leads in the left ventricle: a multicenter experience and review of the literature. Pacing Clin Electrophysiol 2000, 23:877–883.


Для цитирования:


Barbarash S., Tong A. Automatic Internal Cardiac Defibrillator Lead in the Left Ventricle. Комплексные проблемы сердечно-сосудистых заболеваний. 2016;(2):111-114.

For citation:


., . . Complex Issues of Cardiovascular Diseases. 2016;(2):111-114.

Просмотров: 88


Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)