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A Complication of Pacemaker Lead Extraction: Paradoxical Embolism of a Lead Fragment in a Leg Artery
Author(s) -
DIEUZAIDE P.,
SAVON N.,
CHALVIDAN T.,
LeTALLEC L.,
DeHARO J.C.,
DJIANE P.
Publication year - 1998
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1998.tb00053.x
Subject(s) - medicine , lead (geology) , complication , embolism , cardiology , surgery , geomorphology , geology
Extraction of three chronically implanted pacemaker leads was performed via the implant vein in a 71‐year‐old man. One of the leads broke in the subclavian scar tissue. The lead fragment migrated into the left peroneotibial trunk artery. Transesophageal echocardiography showed patent foramen ovale associated with right‐to‐left atrial shunt. This complication of lead extraction is discussed along with the role of echocardiography prior to lead removal.