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Percutaneous extraction of inadvertently placed left‐sided pacemaker leads with complete cerebral embolic protection
Author(s) -
Bahadorani John N.,
Schricker Amir A.,
Pretorius Victor G.,
BirgersdotterGreen Ulrika,
Dominguez Arturo,
Mahmud Ehtisham
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25826
Subject(s) - medicine , percutaneous , cardiology , complication , lead (geology) , surgery , geology , geomorphology
Lead wire malposition is a known, but rare complication of permanent pacemaker or defibrillator implantation. The actual incidence and prevalence is unknown and management options for inadvertent left ventricular lead malposition have not been uniform. Current recommendations include systemic anticoagulation with warfarin or surgical lead removal with circulatory arrest for compelling clinical scenarios. Percutaneous left‐sided lead extraction is contraindicated due to the potentially increased risk of thromboembolic complications associated with this procedure. To our knowledge, this is the first report of percutaneous extraction of inadvertently placed left ventricular and left atrial endocardial pacemaker leads with flow‐preserving complete cerebral embolic protection. We also review the current literature regarding the incidence, management, and percutaneous extraction of left‐sided cardiac leads. © 2015 Wiley Periodicals, Inc.