Right ventricular lead migration to the abdominal cavity: a case report of an unexpected journey
Why the study?
Lead migration into the abdominal cavity following cardiac device implantation is exceedingly rare and management in such cases can be complex.
Population
An 82-year-old woman with dementia and symptomatic Mobitz Type II AV block
Design
Case report
Authors
Discussion
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Member takes
Implication
Rare lead migration managed successfully via extraction and septal reimplantation; leaves open optimal prevention and standardized protocols.
Structured PICO
P
Population
82-year-old woman with dementia and symptomatic Mobitz Type II atrioventricular (AV) block who underwent single-chamber pacemaker implantation
I
Intervention
Extraction of displaced right ventricular lead and implantation of a new lead in the septal position
O
Outcome
Successful lead extraction and new lead implantation with stable pacing function and uneventful recoverysafety
This case highlights the rare complication of pacemaker lead migration into the abdominal cavity and demonstrates successful multidisciplinary management involving lead extraction and reimplantation.
Cite This Study
Antoun et al. (2025) studied this question.