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Transesophageal Echocardiographic Visualization of Left Ventricular Malpositioned Pacemaker Electrodes: Implications for Lead Extraction Procedures
Author(s) -
ORLOV MICHAEL V.,
MESSENGER JOHN C.,
TOBIAS SERGE,
SMITH CLYDE W.,
WAIDER WINFRIED,
WINTERS REX,
SCHANDLING ADRIAN,
CASTELLANET MARK
Publication year - 1999
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.1540-8159.1999.tb00638.x
Subject(s) - medicine , lead (geology) , cardiology , extraction (chemistry) , chemistry , chromatography , geology , geomorphology
Two cases of malpositioned LV electrodes are presented. Transesophageal echocardiography (TEE) allowed for a careful inspection of left‐sided leads and for tracking their course. One LV and two right‐sided leads were safely retrieved with TEE monitoring. One chronic LV lead was left in place as it was heavily fibrosed. TEE was helpful in the inspection and monitoring of the extraction and also in guided traction efforts. This is the first published report of echocardiographic visualization of the lead retrieval procedure.