Key result
Inactive pacemaker lead abandonment is linked to tricuspid valve dysfunction and bilateral venous obstruction.
Why the study?
Transvenous lead extraction in children carries high risks leading to conservative abandonment, which is associated with secondary complications and procedural adverse events.
What are the long-term complications of inactive pacemaker lead abandonment in children?
Case Report (n=1)
What are the long-term complications of inactive pacemaker lead abandonment in children?
This case highlights the severe long-term complications, such as tricuspid valve dysfunction and venous obstruction, associated with abandoning inactive pacemaker leads in children.
Answers are grounded in this paper and cite their sources.
May warrant caution with lead abandonment in children; leaves open optimal management pending larger studies.
Transvenous extraction of the leads in children is associated with a higher risk of serious complications, that is why it is reluctantly performed. Unfortunately, this conservative approach has been associated with secondary complications (tricuspid valve dysfunction and bilateral venous obstruction), adverse events during lead removal procedure and recanalization and stenting of chest veins. We present a case of a 27-year-old female with a pacemaker and insertion of two new leads on the opposite side of the chest leaving the old ones in place.
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Nowosielecka et al. (2024) conducted a case report in Inactive pacemaker lead abandonment (n=1). Inactive pacemaker lead abandonment was evaluated. Inactive pacemaker lead abandonment in a 27-year-old female was associated with secondary complications including tricuspid valve dysfunction and bilateral venous obstruction.
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