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European Heart Journal Advance Access originally published online on October 17, 2005
European Heart Journal 2006 27(9):1012; doi:10.1093/eurheartj/ehi535
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

A rare complication after pacemaker implantation: unusually shaped lead coil

Michele Correale*, Riccardo Ieva, Luigi Ziccardi and Matteo Di Biase

Department of Cardiology, University of Foggia, viale L Pinto, 1. 71100 Foggia, Italy

* Corresponding author. E-mail address: opsfco{at}tin.it

A 77-year-old man with history of dementia and stereotyped movement was referred to Division of Cardiology for a bradycardia–tachycardia syndrome. A ventricular pacing lead was introduced via subclavian venous puncture and was connected to the pulse generator that was implanted in a subcutaneous pocket fashioned over the pectoralis mayor. Inadequate capture and muscle contraction were observed within the first 3 months after the implantation. Chest X-ray and fluoroscopy revealed a lead dislodgement with a ‘chain-like’ form (Figure). The surgical revision showed the absence of fibrous tissue, and therefore, the generator had been able to be rounded so many turns, with dislodgement of the pacing lead. The patient was subjected to a new implantation of pacemaker lead via cephalic venous puncture.

A fluoroscopic examination revealed a lead retraction and dislodgement, with a ‘chain-like’ form (black arrow), because the generator was able to be rounded so many turns. A new lead submitted via cephalic venous puncture (white arrow).


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This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
27/9/1012    most recent
ehi535v1
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