A Complication of Pacemaker Lead Extraction: Paradoxical Embolism of a Lead Fragment in a Leg Artery

Extraction of three chronically implanted pacemaker leads was performed via the implant vein in a 71‐year‐old man. One of the leads broke in the subclavian scar tissue. The lead fragment migrated into the left peroneotibial trunk artery. Transesophageal echocardiography showed patent foramen ovale a...

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Veröffentlicht in:	Pacing and clinical electrophysiology 1998-12, Vol.21 (12), p.2699-2700
Hauptverfasser:	DIEUZAIDE, P., SAVON, N., CHALVIDAN, T., LeTALLEC, L., DeHARO, J.C., DJIANE, P.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged arterial embolism Echocardiography, Transesophageal Embolism, Paradoxical - complications Embolism, Paradoxical - etiology Fluoroscopy Heart Septal Defects, Atrial - complications Humans Intraoperative Complications - etiology lead extraction Leg - blood supply Male Pacemaker, Artificial - adverse effects paradoxical embolism patent foramen ovale
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Zusammenfassung:	Extraction of three chronically implanted pacemaker leads was performed via the implant vein in a 71‐year‐old man. One of the leads broke in the subclavian scar tissue. The lead fragment migrated into the left peroneotibial trunk artery. Transesophageal echocardiography showed patent foramen ovale associated with right‐to‐left atrial shunt. This complication of lead extraction is discussed along with the role of echocardiography prior to lead removal.
ISSN:	0147-8389 1540-8159
DOI:	10.1111/j.1540-8159.1998.tb00053.x