Unique clinical presentation and management of lead-stent abrasion

Slides:

Advertisements

Similar presentations

Inhibition of pacing in a dependent patient with an implantable cardioverter-defibrillator and a left ventricular assist device Michele Murphy, MD, Timothy.

Advertisements

Central venous catheter fracture during pacemaker lead extraction

Isolation of an arrhythmogenic roof vein with the guide of a circular mapping catheter in a case with paroxysmal atrial fibrillation Shin-ichi Tanigawa,

Ventricular tachycardia in iron man

Volume 7, Issue 1, Pages (January 2010)

MediGuide-assisted atrial flutter ablation in a patient with a HeartMate II left ventricular assist device Hien Kiem Nguyen Thanh, MD, Jason Andrade,

Long-standing persistent atrial fibrillation ablation without use of fluoroscopy in a patient with cor triatriatum Saumil R. Shah, MD, Guru P. Mohanty,

Inhibition of pacing in a dependent patient with an implantable cardioverter-defibrillator and a left ventricular assist device Michele Murphy, MD, Timothy.

Central venous catheter fracture during pacemaker lead extraction

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping Nagesh Chopra, MD HeartRhythm.

Swimming pool saline chlorination units and implantable cardiac devices: A source for potentially fatal electromagnetic interference John Wight, BS,

Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy

A case of paroxysmal atrioventricular block–induced cardiac arrest

Combination of a leadless pacemaker and subcutaneous defibrillator: First in-human report Blandine Mondésert, MD, Marc Dubuc, MD, FHRS, Paul Khairy,

Unusual case of late dislodgment of a superior vena cava coil

Ruchit Shah, MD, Vineet Kumar, MD, FHRS HeartRhythm Case Reports

Permanent His bundle pacing at the time of atrioventricular node ablation: A 3- dimensional mapping approach Sukit Ringwala, MD, MPH, Bradley P. Knight,

Inappropriate defibrillator shock during gynecologic electrosurgery

Anne Barnett, PA-C, Lee Eckhardt, MD, FHRS, Miguel A. Leal, MD, FHRS

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient Isla McClelland, MD,

Darren C. Tsang, BS, Roger G. Carrillo, MD, MBA, FHRS

Increased threshold in nonselective His-bundle pacing suspected to be caused by amiodarone JoonHyuk Kim, MD, Seth Goldbarg, MD, FHRS, Steven Leung, MD,

Surgical patch venoplasty after unsuccessful percutaneous balloon venoplasty for pacemaker lead–related superior vena cava stenosis Dhaval Desai, MD,

‘Runaway’ vagal nerve stimulator: a case of cyclic asystole

“Closing the loop” on palpitations

Substernal implantation of a subcutaneous implantable cardioverter-defibrillator in a patient with preexisting Hemodialysis Reliable Outflow graft Thomas.

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Percutaneous transhepatic approach for cryoballoon pulmonary vein isolation in a patient with persistent atrial fibrillation and interruption of the inferior.

Cardiac resynchronization therapy in coronary sinus atresia delivered using leadless endocardial pacing Dewi E. Thomas, MD, MRCP, Nicholas M. Child,

Daniel P. Morin, MD, MPH, FACC, FHRS HeartRhythm Case Reports

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Use of a cerebral protection device for the laser extraction of a pacemaker lead traversing a patent foramen ovale James L. Harrison, MA, PhD, MRCP,

Termination of anticoagulation therapy at 45 days after concomitant atrial fibrillation catheter ablation and left atrial appendage occlusion resulting.

Percutaneous electrosurgical technique for treatment of subclavian vein occlusion: Application of transcaval techniques Jason R. Foerst, MD, David Kim,

An atypical journey during a “typical” EP case

Mindy Vroomen, MD, Mark La Meir, MD, Harry J

Expanding the electrical phenotype of NKX2-5 mutations: Ventricular tachycardia, atrial fibrillation, and complete heart block within one family Simone.

An unusual approach to intractable AVNRT in a pediatric patient

Imre Hunyor, MBBS, DPhil, Hany S. Abed, MBBS, PhD, Raymond W

Xiaoying Lou, BS, Michael P. Brunner, MD, Bruce L

Right-sided subcutaneous implantable cardioverter-defibrillator placement in a patient with dextrocardia, tetralogy of Fallot, and conduction disease

Successful totally thoracoscopic management of a superior vena cava perforation with a pacemaker lead Alexander Bogachev-Prokophiev, MD, Ravil Sharifulin,

Phrenic nerve injury contemporaneous with acute decrease in compound motor action potential during laser balloon pulmonary vein isolation for atrial fibrillation

Inappropriate shocks in a patient with a subcutaneous implantable cardioverter- defibrillator Sana M. Al-Khatib, MD, MHS, FHRS, Sasmrita Belbase, NP,

Transvenous approach to pacemaker lead implantation for sinus node dysfunction after extracardiac lateral tunnel Fontan conduit placement Edward O’Leary,

Tachycardia-induced cardiomyopathy long after a pacemaker implantation for the treatment of unusual 2:1 atrioventricular block: What is the mechanism?

Duelling pacemakers: Unexpected pacemaker interaction resulting from a proprietary rate smoothing algorithm Justin M. Cloutier, MD, Colette M. Seifer,

Circular mapping recordings in a persistent left superior vena cava during atrial tachycardia: Was isolation achieved? Sandrine Venier, MD, Jason G.

Malfunction of an MRI-Conditional Pacemaker Following an MRI

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Successful atrioventricular junction ablation in a patient with situs inversus with dextrocardia and complex venous anatomy Iosif Kelesidis, MD, MSc,

Serious case of the hiccups

Emergency left arial appendage clipping after percutaneous pulmonary vein isolation in a patient with a partial anomalous pulmonary venous connection

Atrial fibrillation resulting from superior vena cava drivers addressed with cryoballoon ablation: Late reconnection at the site of phrenic nerve pacing.

Long-term follow-up of minimally invasive video-assisted thoracoscopic surgery with epicardial radiofrequency ablation for complex cases of inappropriate.

Shock-induced right ventricular pacing failure caused by a short circuit: Uncommon but life-threatening complication of the Riata lead Itsuro Morishima,

Lengthening the atrioventricular delay reduces large left atrial v waves and dyspnea after atrial fibrillation and tachycardia ablation Raman Mitra,

Successful ventricular tachycardia ablation in a patient with a biventricular ventricular assist device and heparin-induced thrombocytopenia using bivalirudin

A very rare abnormal course of the thoracic venous system: Long journey to the right ventricle Yao Chang Wang, MBBS, An Ning Feng, MD, Wei Hsian Yin,

Mechanical esophageal deviation: an approach for pulmonary vein reconnection attributed to esophageal heating Jorge G. Panizo, MD, Jacob S. Koruth, MD,

Abdul R. Mourad, MD, Michael H. Kim, MD, FHRS, Malcolm M

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein Takeshi.

Cardiac implantable electronic device malfunction after deceleration injury without obvious chest trauma Amr F. Barakat, MD, Brian Cross, MD, Jonathan.

Trans-Fontan baffle placement of an endocardial systemic ventricular pacing lead Elizabeth DeWitt, MD, Ryan Callahan, MD, Elizabeth Blume, MD, Audrey.

Left ventricular pseudoaneurysm as a complication of left ventricular summit premature ventricular contraction ablation Sanjay Dandamudi, MD, Susan S.

Substernal subcutaneous implantable cardioverter-defibrillator lead placement for the management of inappropriate shocks Khuyen Do, MD, Chin C. Lee,

Epicardial ablation of ventricular tachycardia in a patient with Becker muscular dystrophy Siva Mohan Krothapalli, MD, Elaine Demetroulis, MD, Gardar.

HeartRhythm Case Reports

Presentation transcript:

Unique clinical presentation and management of lead-stent abrasion Salil Desai, MD, James E. Ip, MD, FHRS, Akhilesh K. Sista, MD, Quynh A. Truong, MD, Bruce B. Lerman, MD, FHRS, Jim W. Cheung, MD, FHRS HeartRhythm Case Reports Volume 4, Issue 2, Pages 54-57 (February 2018) DOI: 10.1016/j.hrcr.2017.10.006 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Three-dimensional rendering of chest computed tomography scan of the patient. Course of the transvenous atrial and ventricular pacing leads (white) are shown. At the junction of the right brachiocephalic vein (blue) and lead entry into the superior vena cava, there is complete absence of contrast consistent with complete superior vena cava occlusion. Extensive collateral venous flow is seen (orange). HeartRhythm Case Reports 2018 4, 54-57DOI: (10.1016/j.hrcr.2017.10.006) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Intracardiac electrograms from pacemaker interrogation 3 weeks after device implantation. High-frequency, nonphysiologic signals (dashed arrows) are seen on the ventricular electrogram channel (A) and the atrial electrogram channel (B). EGM = electrogram. HeartRhythm Case Reports 2018 4, 54-57DOI: (10.1016/j.hrcr.2017.10.006) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 Procedural findings during lead explanation after the identification of electrical lead malfunction. A: Fluoroscopy reveals apposition of the pacing leads at the lateral edge of the left subclavian stent. B: Visual evidence of insulation damage of the atrial lead (red oval circle). C: Visual evidence of insulation damage of the ventricular lead (red oval circle). HeartRhythm Case Reports 2018 4, 54-57DOI: (10.1016/j.hrcr.2017.10.006) Copyright © 2017 Heart Rhythm Society Terms and Conditions