Percutaneous extraction of a protruding atrial pacing lead in an 8-year-old child

An 8-year-old girl with a history of single-chamber epicardial pacemaker during infancy and cardiac resynchronization therapy with a His bundle pacing lead implantation six months earlier, presented with congenital complete heart block. At the follow-up visit, we found atrial pacing lead protrusion...

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Veröffentlicht in:Journal of cardiology cases 2023-07, Vol.28 (1), p.32-35
Hauptverfasser: Dalili, Mohammad, Ariannia, Ali, Rezanejad, Elham
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Sprache:eng
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Zusammenfassung:An 8-year-old girl with a history of single-chamber epicardial pacemaker during infancy and cardiac resynchronization therapy with a His bundle pacing lead implantation six months earlier, presented with congenital complete heart block. At the follow-up visit, we found atrial pacing lead protrusion with probable insulation in the computed tomography scan. We have shown late pacemaker lead perforation management under fluoroscopic guidance in a pediatric patient. A serious complication associated with cardiac implantable electronic devices is lead perforation. In the pediatric age group, limited data exist on this complication and its challenging management. We present a case of atrial pacing lead protrusion in an 8-year-old girl. The lead was extracted under fluoroscopic guidance without any complications.
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2023.03.001