Key result
An echo-dense tubular lead-like 'ghost' structure was observed on echocardiography 6 months after transvenous lead extraction in a 62-year-old man.
Why the study?
Residual fibrous structures, or ghosts, are occasionally detected after lead extraction, but their prognostic and therapeutic implications remain speculative.
Case Report (n=1)
This case highlights the persistence of a pacemaker lead-like "ghost" structure on echocardiography 6 months after transvenous lead extraction for device infection.
Answers are grounded in this paper and cite their sources.
Persistent ghosts may appear on follow-up echo after extraction; this case leaves open their prevalence and significance.
Residual fibrous structures, referred as "ghosts", are occasionally encountered following lead extraction. Though typically detected in patients with cardiac device infections, their prognostic and therapeutic implications remain speculative. We describe a 62-year-old gentleman with history of sick sinus syndrome who presented atrial fibrillation with rapid ventricular response. The patient had history of transvenous lead extraction following pacemaker pocket infection 6 months earlier. In echocardiography, an echo-dense tubular lead-like structure was seen that followed the route of a pacer lead from superior vena cava to right atrium and then passing through the tricuspid valve into right ventricle.
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Alizadehasl et al. (2018) conducted a case report in Pacemaker lead-like ghost (n=1). An echo-dense tubular lead-like 'ghost' structure was observed on echocardiography 6 months after transvenous lead extraction in a 62-year-old man.
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