Key result
Inadvertent lead malposition in the left heart was associated with acute TIA or stroke in 31% of patients at diagnosis, with 4 patients experiencing TIA or stroke during a 9-month follow-up.
Why the study?
Inadvertent lead malposition in the left heart is an under-recognized complication of cardiac electronic device implantation, prompting an evaluation of associated clinical conditions and treatment strategies.
What are the clinical characteristics, management strategies, and outcomes of inadvertent lead malposition in the left heart during CIED implantation?
Systematic Review (n=157)
What are the clinical characteristics, management strategies, and outcomes of inadvertent lead malposition in the left heart during CIED implantation?
Inadvertent lead malposition in the left heart is a rare complication often diagnosed late, for which lead extraction appears to be a safe and effective alternative to anticoagulation.
No takes yet. Share an insight, caveat, or question.
Clinicians should suspect ILMLH after CIED implantation; leaves open standardized diagnostic and management protocols.
Spighi et al. (2022) conducted a systematic review in Inadvertent lead malposition in the left heart (n=157). Inadvertent lead malposition in the left heart was evaluated on TIA or stroke. Inadvertent lead malposition in the left heart was associated with acute TIA or stroke in 31% of patients at diagnosis, with 4 patients experiencing TIA or stroke during a 9-month follow-up.
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