20 April 2004
The malposition of transvenous pacemaker lead in the left ventricle – how to avoid this rare complication
Marzenna Zielińska, Krzysztof Kaczmarek, Michał Chudzik, Wlodzimierz KoniarekCase Rep Clin Pract Rev 2004; 5(null):358-360 :: ID: 12352
Abstract
Background: Transvenous pacemaker lead malposition in the left ventricle is a rare complication of pacemaker implantation, however at the moment of diagnosis poses the serious therapeutic problem.Case Report: The report describes a female with unintentional pacemaker lead placement in the left ventricle through patent foramen ovale. Lead malposition was diagnosed accidentally six years after implantation. Authors analysed this case, in connection with other publicised reports, to find the safe algorithm for intraoperative estimation of correct pacemaker lead fixation.Conclusions: The following algorithm of procedures during pacemaker implantation is proposed to avoid the lead malposition in the left ventricle. First, to obligatory perform 12-lead electrocardiogram in pace mode during surgery or immediately after. Second, in case of RBBB pattern in postimplant ECG, to do ECHO (TTE or TEE if necessary) for precise lead position description.
Keywords: malposition of pacemaker lead, Electrocardiography, Echocardiography
21
In Press
12 Feb 2024 : Case report
Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...Am J Case Rep In Press; DOI: 10.12659/AJCR.942870
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
Most Viewed Current Articles
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
05 Mar 2022 : Case report
Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...DOI :10.12659/AJCR.935336
Am J Case Rep 2022; 23:e935336
02 Apr 2022 : Case report
Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...DOI :10.12659/AJCR.935743
Am J Case Rep 2022; 23:e935743