An Uncommon Ventricular Tachycardia due to Inactive PPM Lead

Datta, Goutam; Sarkar, Achyut; Haque, Md. Azizul

doi:10.5402/2011/232648

Cited by 5 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Right ventricular irritation has been previously described in both retained fragments of pacemaker leads and loops of device leads in the right ventricle or right ventricular outflow tract. 5 , 6 This is further supported by unifocal PVCs, which were noted after MICRA implantation, that were similar to the paced QRS complex. This phenomenon could only be rectified with extraction and reimplantation of the MICRA to a new position in the right ventricle, resolving both spontaneous unifocal PVCs and PVC-induced PMVT.…”

Section: Discussionmentioning

confidence: 71%

Premature ventricular contraction–induced polymorphic ventricular tachycardia after leadless pacemaker implantation: A unique adverse effect of leadless pacing

Amin

Billakanty

Chopra

et al. 2018

HeartRhythm Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 71%

Premature ventricular contraction–induced polymorphic ventricular tachycardia after leadless pacemaker implantation: A unique adverse effect of leadless pacing

Amin

Billakanty

Chopra

et al. 2018

HeartRhythm Case Reports

View full text Add to dashboard Cite

“…In addition to PICC and central venous catheters, abandoned pacemaker leads have been reported to cause position-dependent VT. 7 Approximately 2.5% of patients with endocarditis will develop acute coronary syndrome related to coronary artery compression that results from periannular complications or coronary arterial C A S E R E P O R T…”

Section: Discussionmentioning

confidence: 99%

Position-Dependent Ventricular Tachycardia Related to Peripherally Inserted Central Venous Catheter

Álvarez¹,

Schürmann²,

Smith³

et al. 2016

Methodist DeBakey Cardiovascular Journal

View full text Add to dashboard Cite

We report a case of a 51-year-old male who developed frequent nonsustained episodes of monomorphic ventricular tachycardia after being diagnosed with bioprosthetic aortic valve endocarditis and treated with intravenous antibiotics. A peripherally inserted central venous catheter (PICC) had been placed without complication less than 24 hours prior to the episodes. Ventricular tachycardia (VT) occurred during the night, while sleeping, when he assumed a right lateral decubitus position with abduction of the right arm and placement of the forearm under his head. VT occurred repeatedly when such position was assumed again upon request, and it would terminate immediately when sitting upright. The PICC was repositioned in the superior vena cava without further VT. He was discharged home the same day and underwent successful aortic valve replacement 2 months later. Position-dependent VT related to PICC requires careful history taking and PICC repositioning to make the diagnosis. X-ray in different patient positions during PICC placement can be considered to evaluate for ventricular migration.

show abstract

“…This rare scenario has been described for endocardial pacing and defibrillator lead tips 2 , 3 , 4 as well as secondary to the lead shaft itself. 5 , 6 , 7 It also has been documented with fractured and migrated epicardial leads in the setting of perforation. 8 , 9 In this case, the lead itself did not appear to have any abnormality, and there was no evidence of perforation on prior computed tomographic imaging.…”

Section: Discussionmentioning

confidence: 99%