Key result
Percutaneous stenting for pacemaker lead-associated right atrial thrombus achieves technical success but ends fatally.
Why the study?
The treatment of right atrial thrombi is sometimes controversial.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Fatal outcome despite technical success warrants caution; leaves open the role of stenting for lead thrombi.
This case report is about an 84-year-old woman admitted with right atrial thrombus attached to a pacemaker lead, diagnosed by transesophageal echocardiography. Surgical treatment was rejected due to the high operative risk, and percutaneous stenting was performed with success; unfortunately, the outcome was fatal and the patient died. We review here the clinical features of right atrial thrombi, including the epidemiology, clinical manifestations, diagnosis, and treatment, which is sometimes controversial.
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Carda et al. (2008) conducted a case report in Right atrial thrombus attached to a pacemaker lead (n=1). Percutaneous stenting was evaluated on Patient survival. Percutaneous stenting for a pacemaker lead-associated right atrial thrombus in an 84-year-old woman was technically successful, though the clinical outcome was fatal.
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