What is the clinical evidence from this study?

Study design: Case Report. Population: Inadvertent malposition of a pacemaker lead in the left ventricle (n=1). Intervention: Inadvertent malposition of a pacemaker lead in the left ventricle.

May 10, 2008European Journal of EchocardiographyOpen Access

Eight years of left ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle

View Full Paper

Ask AI

Bookmark

Key result

Conservative management avoids surgery for a malpositioned LV pacemaker lead discovered 8 years post-implantation.

Population

A 78-year-old woman admitted for progressive dyspnea, 8 years after transvenous pacemaker implantation.

Design

Case_report

Follow-up

8 years (since pacemaker implantation)

Authors

DVDaniel VanherckeAZ Sint-Lucas WHW. HeytensGhent University Hospital HVH VerlooveOLVG

Discussion

Member takes

Implication

May support conservative management in select asymptomatic patients; leaves open need for prospective risk-benefit data.

Key Points

To describe the delayed diagnosis and clinical management of an inadvertent left ventricular pacemaker lead malposition detected eight years following initial implantation.
Evaluated a 78-year-old woman presenting with progressive dyspnea 8 years post-pacemaker implantation using 12-lead electrocardiography, lateral chest radiography, and echocardiography.
Assessed thromboembolic history, bleeding risks, and existing antiplatelet therapy to determine whether surgical lead extraction or anticoagulation was warranted.
Electrocardiography revealed paced beats with right bundle branch block morphology, and chest radiography demonstrated posterior deflection of the ventricular lead.
Transthoracic echocardiography confirmed that the transvenous lead had traversed the foramen ovale into the left ventricle.
Surgical lead extraction was postponed and antiplatelet therapy was maintained without anticoagulation due to the patient's low prior emboligenic profile and elevated bleeding risk.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 78-year-old woman presenting with progressive dyspnea 8 years after transvenous pacemaker implantation, diagnosed with a malpositioned lead in the left ventricle.

Exposure

Conservative management (postponing surgical removal of the malpositioned lead, continuing platelet therapy without anticoagulation).

Outcome

Diagnosis of malpositioned pacemaker lead in the left ventricle and subsequent management strategy.

This case highlights the role of echocardiography in diagnosing rare complications like inadvertent left ventricular pacemaker lead malposition and supports conservative management in select patients.

Cite This Study

Vanhercke et al. (2008) conducted a case report in Inadvertent malposition of a pacemaker lead in the left ventricle (n=1). Inadvertent malposition of a pacemaker lead in the left ventricle was evaluated. An inadvertently malpositioned pacemaker lead in the left ventricle was diagnosed by echocardiography 8 years post-implantation and managed conservatively without surgical removal.

synapsesocial.com/papers/6aa44f1177780abc08852465 https://doi.org/10.1093/ejechocard/jen187

View Full Paper

Ask AI

Bookmark

Eight years of left ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Eight years of left ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider