Open AccessInadvertent Removal of a Right Ventricular Pacemaker Lead by a Knotted Transvenous Pacing Wire
Author(s) -
Evan J. Wiens,
Colette Seifer,
Clarence Khoo
Publication year - 2019
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.5005/jp-journals-10071-23126
Subject(s) - medicine , lead (geology) , transvenous pacing , complication , cardiology , exit site , permanent pacemaker , ventricular pacing , surgery , heart failure , catheter , geomorphology , geology
We report an unusual complication of permanent pacemaker (PPM) implantation in a patient with a temporary transvenous pacemaker (TVP) in situ , in which the TVP lead formed a knot around the newly-placed right ventricular (RV) lead, complicating TVP removal. The case underscores the fact that suboptimal TVP lead placement, such as looping in the RV, can result in complications during implantation of a permanent pacemaker.