Open AccessThe details of an unusual “ghost” after transvenous lead extraction: Three‐dimensional computed tomography analysis
Author(s) -
Kiuchi Kunihiko,
Fukuzawa Koji,
Mori Shumpei,
Nishii Tatsuya,
Matsumoto Kensuke,
Ichibori Hirotoshi,
Yamada Takashi
Publication year - 2017
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2017.07.008
Subject(s) - medicine , intracardiac injection , computed tomography , radiology , surgery
Transvenous lead extraction (TLE) is performed to prevent deaths in patients with device infections. Intracardiac masses detected by echocardiography, i.e., “ghosts,” are reported in 8% of patients after a TLE in retrospective studies and in 14% in prospective studies. We herein describe a case with unusual ghosts after a TLE. Three‐dimensional computed tomography (3DCT) is useful for revealing all the details of unusual ghosts. In this case, the residual silicone insulation and “cast,” including the fibrous sheath and severe calcifications could be visualized and differentiated by 3DCT.