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Accidental Entry of an Implantable Cardioverter Defibrillator Lead into the Left Hepatic Vein Detected by Transesophageal Echocardiography
Author(s) -
ORIHASHI KAZUMASA,
MATSUURA YUICHIRO,
SUEDA TAIJIRO,
SHIKATA HIROO,
MITSUI NORIMASA,
SUESHIRO MASAFUMI
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.tb00107.x
Subject(s) - medicine , implantable cardioverter defibrillator , cardiology , accidental , accidental fall , surgery , acoustics , physics
We report a case of accidental entry of an implantable Cardioverter defibrillator lead into the hepatic vein, which was not noted on fluoroscopy but was apparent when transesophageal echocardiography (TEE) was used incidentally. The lead was depicted in the hepatic vein as strongly echogenic, accompanied by an acoustic shadow. Additional bending of the stylet was helpful for successful advancement of the lead. TEE provides additional information in such cases, although indications for its use should be explored because of its possible complications.