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Entrapment of a Pacing Lead within a Chiari Network: Utility of Intracardiac Echo and a Laser Sheath
Author(s) -
AUNG HTIN,
ESPINOSA RAUL E.,
POWELL BRIAN D.,
MCLEOD CHRISTOPHER J.
Publication year - 2016
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.12828
Subject(s) - intracardiac injection , medicine , thoracotomy , entrapment , lead (geology) , right atrium , catheter , surgery , radiology , geology , geomorphology
Although rare, Chiari networks are elaborate embryological remnants that can pose distinct challenges for catheter and pacing lead manipulation within the right atrium. Device entrapment may require open thoracotomy for removal, with significant morbidity. We report an unusual case of pacing lead entanglement within this structure, followed by prompt intracardiac echocardiographic identification and laser sheath removal.