Management of Inadvertent Left Ventricular Permanent Pacing.

Autor: Kostas E. Paravolidakis, Eftihia S. Hamodraka, Theofilos M. Kolettis, Stavroula N. Psychari, Thomas S. Apostolou
Zdroj: Journal of Interventional Cardiac Electrophysiology; Jun2004, Vol. 10 Issue 3, p237-240, 4p
Abstrakt: Inadvertent implantation of a pacemaker lead in the left ventricle is an uncommon complication. We report a case of a permanent pacemaker lead inadvertently placed through the left subclavian artery, across the aortic valve into the left ventricle. A chest X-ray one month after the procedure showed an unusual course of the lead and a 12-lead ECG and a transthoracic echocardiogram confirmed the diagnosis. The patient refused surgical removal and remained on fulll anticoagulation. No clinical events were recorded during a 3-year follow-up. In such cases we propose life-long full anticoagulation as an alternative to surgical lead extraction. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index