Key result
Anticoagulation achieves thrombus regression in a patient with embolic stroke from an inadvertent LV lead.
Why the study?
Misplacement of a permanent pacemaker lead into the left ventricle can interfere with normal cardiac function and cause complications such as heart rhythm problems and blood clots.
Population
One 78-year-old patient with an LV lead through a patent foramen ovale presenting with embolic stroke
Design
Case report
Authors
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May support anticoagulation before extraction in LV lead misplacement; leaves open standardized protocols.
Case Report (n=1)
Inadvertent misplacement of a pacemaker lead into the left ventricle can cause embolic stroke, which may be managed with anticoagulation for thrombus regression prior to individualized decisions on lead extraction.
Erdem et al. (2023) conducted a case report in Embolic stroke due to misplaced pacemaker lead (n=1). Anticoagulation was evaluated on Thrombus regression. Anticoagulation successfully achieved thrombus regression in a 78-year-old patient presenting with an embolic stroke due to a pacemaker lead inadvertently misplaced into the left ventricle.
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