Key result
Three-dimensional computed tomography successfully visualized and differentiated the details of an unusual 'ghost', including residual silicone insulation, fibrous sheath, and severe calcifications.
Why the study?
Can three-dimensional computed tomography reveal the details of unusual 'ghosts' after transvenous lead extraction?
Case Report (n=1)
Can three-dimensional computed tomography reveal the details of unusual 'ghosts' after transvenous lead extraction?
Three-dimensional computed tomography is a useful imaging modality for detailing unusual intracardiac masses ('ghosts') following transvenous lead extraction.
3DCT may detail unusual post-TLE ghosts; leaves open its role in routine practice pending further evidence.
Transvenous lead extraction (TLE) is performed to prevent deaths in patients with device infections. Intracardiac masses detected by echocardiography, i.e., "ghosts," are reported in 8% of patients after a TLE in retrospective studies and in 14% in prospective studies. We herein describe a case with unusual ghosts after a TLE. Three-dimensional computed tomography (3DCT) is useful for revealing all the details of unusual ghosts. In this case, the residual silicone insulation and "cast," including the fibrous sheath and severe calcifications could be visualized and differentiated by 3DCT.
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Kiuchi et al. (2017) conducted a case report in Device infection / post-transvenous lead extraction 'ghost' (n=1). Three-dimensional computed tomography (3DCT) was evaluated on Visualization of residual silicone insulation and 'cast'. Three-dimensional computed tomography successfully visualized and differentiated the details of an unusual 'ghost', including residual silicone insulation, fibrous sheath, and severe calcifications.
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