Why the study?
Does transesophageal echocardiography (TEE) monitoring aid in the extraction of malpositioned left ventricular pacemaker electrodes?
Does transesophageal echocardiography (TEE) monitoring aid in the extraction of malpositioned left ventricular pacemaker electrodes?
Transesophageal echocardiography is a useful imaging modality for inspecting, monitoring, and guiding traction efforts during the extraction of malpositioned pacemaker leads.
Answers are grounded in this paper and cite their sources.
Supports TEE role in complex lead extraction; hypothesis-generating and requires prospective validation before practice change.
Two cases of malpositioned LV electrodes are presented. Transesophageal echocardiography (TEE) allowed for a careful inspection of left-sided leads and for tracking their course. One LV and two right-sided leads were safely retrieved with TEE monitoring. One chronic LV lead was left in place as it was heavily fibrosed. TEE was helpful in the inspection and monitoring of the extraction and also in guided traction efforts. This is the first published report of echocardiographic visualization of the lead retrieval procedure.
No takes yet. Share an insight, caveat, or question.
Orlov et al. (1999) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: