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Cardioembolic Stroke in Patients with Patent Foramen Ovale and Implanted Cardiac Leads
Author(s) -
DESIMONE CHRISTOPHER V.,
DESIMONE DANIEL C.,
HAGLER DONALD J.,
FRIEDMAN PAUL A.,
ASIRVATHAM SAMUEL J.
Publication year - 2013
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/pace.12014
Subject(s) - medicine , patent foramen ovale , cardiology , stroke (engine) , thrombus , foramen ovale (heart) , migraine , mechanical engineering , engineering
Implanted cardiac devices, including pacemakers, defibrillators, and resynchronization devices, are known to develop thrombus on their intravascular leads. Patent foramen ovale (PFO) occurs in approximately one‐quarter of the adult population. It is unclear whether paradoxical cardioembolism and clinically relevant stroke occur in patients with implanted cardiac leads and PFO. We present a case series of four patients with cardioembolic stroke, presumed to arise from intravascular cardiac leads and associated PFO that required device closure of the PFO. (PACE 2013; 36:50–54)