Proximity of Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computed Tomography
Introduction There have been rare case reports of damage to adjacent coronary arteries by screw‐in pacemaker and implantable cardioverter‐defibrillator (ICD) leads. Our aim was to assess the proximity of pacemaker and ICD leads to the major coronary anatomy using cardiac computed tomography (CT). Me...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2014-06, Vol.37 (6), p.717-723 |
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| creator | PANG, BENJAMIN J. JOSHI, SUBODH B. LUI, ELAINE H. TACEY, MARK A. ALISON, JEFF SENEVIRATNE, SUJITH K. CAMERON, JAMES D. MOND, HARRY G. |
| description | Introduction
There have been rare case reports of damage to adjacent coronary arteries by screw‐in pacemaker and implantable cardioverter‐defibrillator (ICD) leads. Our aim was to assess the proximity of pacemaker and ICD leads to the major coronary anatomy using cardiac computed tomography (CT).
Methods
Cardiac CT images were retrospectively analyzed to assess the spatial relationship of device lead tips to the major coronary anatomy.
Results
Fifty‐two right ventricular (RV) leads (17 apical, 35 nonapical) and 35 right atrial (RA) leads were assessed. Leads on the RV antero‐septal junction (20 of 52) were close (median 4.7 mm) to, and orientated toward, the left anterior descending (LAD) coronary artery. RA leads in the anterior (26 of 35) and lateral (seven of 35) walls of the RA appendage were not close to (16.9 ± 7.7 mm and 18.9 ± 12.4 mm, respectively) and directed away from the right coronary artery. However, an RA lead adjacent to the superior border of the tricuspid valve was 4.3 mm from the right coronary artery and an RA lead on the medial wall of the RA appendage was 1.6 mm away from the aorta. An RV pacemaker lead in the lateral wall of the RV inlet was 3.4 mm from the right coronary artery.
Conclusions
In our cohort, a majority of RV leads were on the antero‐septal junction and close to the overlying LAD coronary artery. RA leads adjacent to the tricuspid valve or on the medial RA appendage were in close proximity to the right coronary artery and aorta, respectively. |
| doi_str_mv | 10.1111/pace.12330 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1535207605</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1535207605</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4330-eb59ebfc9160f194701d6922063b0542362c958233b6b3e1bd26afa36c3762f23</originalsourceid><addsrcrecordid>eNp9kM1O3DAURi1EBVPKhgdAXiKkgH9iZ7IchSkgpnSkUsHOspMbMCTjYGda8gR97XoIsOTK0pWsc4_0fQgdUHJC45x2uoQTyjgnW2hCRUqSKRX5NpoQmmbJlE_zXfQ1hEdCiCSp2EG7LOUZ44xM0L-ldy-2tf2AXY2X0dTqJ_BYryp82XaNXvXaNIAL7Svr_oDvwSdnUFvjbdPo3nm8AF0F3DtcOO9W2g94tqEsBKwDnoUA8VXYDKNElxFsu3Uf_25c6-697h6Gb-hLrZsA-297D_3-Pr8pLpLFz_PLYrZIyjTmS8CIHExd5lSSmuZpRmglc8aI5IaIlHHJylxMYxdGGg7UVEzqWnNZ8kyymvE9dDR6O--e1xB61dpQQoyyArcOigouGMkkERE9HtHSuxA81Krzto35FCVqU7zaFK9ei4_w4Zt3bVqoPtD3piNAR-CvbWD4RKWWs2L-Lk3GGxt6ePm40f5JyYxnQt1enyv26-rHxd2VUEv-H6gxneI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1535207605</pqid></control><display><type>article</type><title>Proximity of Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computed Tomography</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>PANG, BENJAMIN J. ; JOSHI, SUBODH B. ; LUI, ELAINE H. ; TACEY, MARK A. ; ALISON, JEFF ; SENEVIRATNE, SUJITH K. ; CAMERON, JAMES D. ; MOND, HARRY G.</creator><creatorcontrib>PANG, BENJAMIN J. ; JOSHI, SUBODH B. ; LUI, ELAINE H. ; TACEY, MARK A. ; ALISON, JEFF ; SENEVIRATNE, SUJITH K. ; CAMERON, JAMES D. ; MOND, HARRY G.</creatorcontrib><description>Introduction
There have been rare case reports of damage to adjacent coronary arteries by screw‐in pacemaker and implantable cardioverter‐defibrillator (ICD) leads. Our aim was to assess the proximity of pacemaker and ICD leads to the major coronary anatomy using cardiac computed tomography (CT).
Methods
Cardiac CT images were retrospectively analyzed to assess the spatial relationship of device lead tips to the major coronary anatomy.
Results
Fifty‐two right ventricular (RV) leads (17 apical, 35 nonapical) and 35 right atrial (RA) leads were assessed. Leads on the RV antero‐septal junction (20 of 52) were close (median 4.7 mm) to, and orientated toward, the left anterior descending (LAD) coronary artery. RA leads in the anterior (26 of 35) and lateral (seven of 35) walls of the RA appendage were not close to (16.9 ± 7.7 mm and 18.9 ± 12.4 mm, respectively) and directed away from the right coronary artery. However, an RA lead adjacent to the superior border of the tricuspid valve was 4.3 mm from the right coronary artery and an RA lead on the medial wall of the RA appendage was 1.6 mm away from the aorta. An RV pacemaker lead in the lateral wall of the RV inlet was 3.4 mm from the right coronary artery.
Conclusions
In our cohort, a majority of RV leads were on the antero‐septal junction and close to the overlying LAD coronary artery. RA leads adjacent to the tricuspid valve or on the medial RA appendage were in close proximity to the right coronary artery and aorta, respectively.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.12330</identifier><identifier>PMID: 24372320</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Coronary Angiography - methods ; coronary arteries ; Coronary Vessels - surgery ; Defibrillators, Implantable ; Female ; Humans ; Male ; Pacemaker, Artificial ; pacing lead implantation ; Prosthesis Implantation - methods ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Surgery, Computer-Assisted - methods ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>Pacing and clinical electrophysiology, 2014-06, Vol.37 (6), p.717-723</ispartof><rights>2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4330-eb59ebfc9160f194701d6922063b0542362c958233b6b3e1bd26afa36c3762f23</citedby><cites>FETCH-LOGICAL-c4330-eb59ebfc9160f194701d6922063b0542362c958233b6b3e1bd26afa36c3762f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.12330$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.12330$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24372320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PANG, BENJAMIN J.</creatorcontrib><creatorcontrib>JOSHI, SUBODH B.</creatorcontrib><creatorcontrib>LUI, ELAINE H.</creatorcontrib><creatorcontrib>TACEY, MARK A.</creatorcontrib><creatorcontrib>ALISON, JEFF</creatorcontrib><creatorcontrib>SENEVIRATNE, SUJITH K.</creatorcontrib><creatorcontrib>CAMERON, JAMES D.</creatorcontrib><creatorcontrib>MOND, HARRY G.</creatorcontrib><title>Proximity of Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computed Tomography</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing and Clinical Electrophysiology</addtitle><description>Introduction
There have been rare case reports of damage to adjacent coronary arteries by screw‐in pacemaker and implantable cardioverter‐defibrillator (ICD) leads. Our aim was to assess the proximity of pacemaker and ICD leads to the major coronary anatomy using cardiac computed tomography (CT).
Methods
Cardiac CT images were retrospectively analyzed to assess the spatial relationship of device lead tips to the major coronary anatomy.
Results
Fifty‐two right ventricular (RV) leads (17 apical, 35 nonapical) and 35 right atrial (RA) leads were assessed. Leads on the RV antero‐septal junction (20 of 52) were close (median 4.7 mm) to, and orientated toward, the left anterior descending (LAD) coronary artery. RA leads in the anterior (26 of 35) and lateral (seven of 35) walls of the RA appendage were not close to (16.9 ± 7.7 mm and 18.9 ± 12.4 mm, respectively) and directed away from the right coronary artery. However, an RA lead adjacent to the superior border of the tricuspid valve was 4.3 mm from the right coronary artery and an RA lead on the medial wall of the RA appendage was 1.6 mm away from the aorta. An RV pacemaker lead in the lateral wall of the RV inlet was 3.4 mm from the right coronary artery.
Conclusions
In our cohort, a majority of RV leads were on the antero‐septal junction and close to the overlying LAD coronary artery. RA leads adjacent to the tricuspid valve or on the medial RA appendage were in close proximity to the right coronary artery and aorta, respectively.</description><subject>Aged</subject><subject>Coronary Angiography - methods</subject><subject>coronary arteries</subject><subject>Coronary Vessels - surgery</subject><subject>Defibrillators, Implantable</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Pacemaker, Artificial</subject><subject>pacing lead implantation</subject><subject>Prosthesis Implantation - methods</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1O3DAURi1EBVPKhgdAXiKkgH9iZ7IchSkgpnSkUsHOspMbMCTjYGda8gR97XoIsOTK0pWsc4_0fQgdUHJC45x2uoQTyjgnW2hCRUqSKRX5NpoQmmbJlE_zXfQ1hEdCiCSp2EG7LOUZ44xM0L-ldy-2tf2AXY2X0dTqJ_BYryp82XaNXvXaNIAL7Svr_oDvwSdnUFvjbdPo3nm8AF0F3DtcOO9W2g94tqEsBKwDnoUA8VXYDKNElxFsu3Uf_25c6-697h6Gb-hLrZsA-297D_3-Pr8pLpLFz_PLYrZIyjTmS8CIHExd5lSSmuZpRmglc8aI5IaIlHHJylxMYxdGGg7UVEzqWnNZ8kyymvE9dDR6O--e1xB61dpQQoyyArcOigouGMkkERE9HtHSuxA81Krzto35FCVqU7zaFK9ei4_w4Zt3bVqoPtD3piNAR-CvbWD4RKWWs2L-Lk3GGxt6ePm40f5JyYxnQt1enyv26-rHxd2VUEv-H6gxneI</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>PANG, BENJAMIN J.</creator><creator>JOSHI, SUBODH B.</creator><creator>LUI, ELAINE H.</creator><creator>TACEY, MARK A.</creator><creator>ALISON, JEFF</creator><creator>SENEVIRATNE, SUJITH K.</creator><creator>CAMERON, JAMES D.</creator><creator>MOND, HARRY G.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201406</creationdate><title>Proximity of Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computed Tomography</title><author>PANG, BENJAMIN J. ; JOSHI, SUBODH B. ; LUI, ELAINE H. ; TACEY, MARK A. ; ALISON, JEFF ; SENEVIRATNE, SUJITH K. ; CAMERON, JAMES D. ; MOND, HARRY G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4330-eb59ebfc9160f194701d6922063b0542362c958233b6b3e1bd26afa36c3762f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Coronary Angiography - methods</topic><topic>coronary arteries</topic><topic>Coronary Vessels - surgery</topic><topic>Defibrillators, Implantable</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Pacemaker, Artificial</topic><topic>pacing lead implantation</topic><topic>Prosthesis Implantation - methods</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PANG, BENJAMIN J.</creatorcontrib><creatorcontrib>JOSHI, SUBODH B.</creatorcontrib><creatorcontrib>LUI, ELAINE H.</creatorcontrib><creatorcontrib>TACEY, MARK A.</creatorcontrib><creatorcontrib>ALISON, JEFF</creatorcontrib><creatorcontrib>SENEVIRATNE, SUJITH K.</creatorcontrib><creatorcontrib>CAMERON, JAMES D.</creatorcontrib><creatorcontrib>MOND, HARRY G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PANG, BENJAMIN J.</au><au>JOSHI, SUBODH B.</au><au>LUI, ELAINE H.</au><au>TACEY, MARK A.</au><au>ALISON, JEFF</au><au>SENEVIRATNE, SUJITH K.</au><au>CAMERON, JAMES D.</au><au>MOND, HARRY G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proximity of Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computed Tomography</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing and Clinical Electrophysiology</addtitle><date>2014-06</date><risdate>2014</risdate><volume>37</volume><issue>6</issue><spage>717</spage><epage>723</epage><pages>717-723</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Introduction
There have been rare case reports of damage to adjacent coronary arteries by screw‐in pacemaker and implantable cardioverter‐defibrillator (ICD) leads. Our aim was to assess the proximity of pacemaker and ICD leads to the major coronary anatomy using cardiac computed tomography (CT).
Methods
Cardiac CT images were retrospectively analyzed to assess the spatial relationship of device lead tips to the major coronary anatomy.
Results
Fifty‐two right ventricular (RV) leads (17 apical, 35 nonapical) and 35 right atrial (RA) leads were assessed. Leads on the RV antero‐septal junction (20 of 52) were close (median 4.7 mm) to, and orientated toward, the left anterior descending (LAD) coronary artery. RA leads in the anterior (26 of 35) and lateral (seven of 35) walls of the RA appendage were not close to (16.9 ± 7.7 mm and 18.9 ± 12.4 mm, respectively) and directed away from the right coronary artery. However, an RA lead adjacent to the superior border of the tricuspid valve was 4.3 mm from the right coronary artery and an RA lead on the medial wall of the RA appendage was 1.6 mm away from the aorta. An RV pacemaker lead in the lateral wall of the RV inlet was 3.4 mm from the right coronary artery.
Conclusions
In our cohort, a majority of RV leads were on the antero‐septal junction and close to the overlying LAD coronary artery. RA leads adjacent to the tricuspid valve or on the medial RA appendage were in close proximity to the right coronary artery and aorta, respectively.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24372320</pmid><doi>10.1111/pace.12330</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0147-8389 |
| ispartof | Pacing and clinical electrophysiology, 2014-06, Vol.37 (6), p.717-723 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Coronary Angiography - methods coronary arteries Coronary Vessels - surgery Defibrillators, Implantable Female Humans Male Pacemaker, Artificial pacing lead implantation Prosthesis Implantation - methods Reproducibility of Results Retrospective Studies Sensitivity and Specificity Surgery, Computer-Assisted - methods Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Proximity of Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computed Tomography |
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