Key result
Continuous ICE and dual transcatheter cerebral protection enable successful extraction of a misplaced LV lead.
Why the study?
Misplacement of pacing leads in the left ventricle is rare and associated with embolic complications.
Design
Case report
Authors
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May enable protected extraction of misplaced LV leads; leaves open prospective safety validation before adoption.
Demonstrates a technique for extracting misplaced left ventricular pacing leads using intracardiac echocardiography and dual cerebral embolic protection devices to prevent embolic complications.
Motta et al. (2024) studied this question. Extraction of a misplaced left ventricular pacing lead was achieved using continuous intracardiac echocardiography and complete cerebral protection with two transcatheter devices.
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