Highlights the risk of pulmonary embolization during pacemaker lead extraction in the presence of a large infected mass.
May warrant caution for embolization during extraction of infected leads with large right atrial masses; leaves open optimal management strategies.
An 81-year-old man with ischaemic cardiomyopathy and a biventricular pacemaker and defibrillator was referred for system extraction due to infection. A transoesophageal echocardiogram (TOE) demonstrated a large mass/thrombus on the right atrial pacing lead ( Panel 1 ). Surgical extraction was felt to be a high risk, …
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Kirubakaran et al. (2012) studied this question.
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