Diagnosis and management of inadvertently placed pacemaker lead in the left ventricle following sinus venosus atrial septal defect repair surgery

Teshome, Meron; Ifedili, Ikechukwu; Nayyar, Mannu; Levine, Yehoshua C.; Holden, A; Yedlapati, Neeraja; Kabra, Rajesh

doi:10.1016/j.hrcr.2020.01.010

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Thus, CRT, when necessary, is sometimes performed with an epicardial LV lead. Inadvertent placement of leads in the left heart can occur due to gaps in patch material, and care must be taken during device implantation [60].…”

Section: Lesion: Asd Avsd Repairsmentioning

confidence: 99%

Treatment of arrhythmia disorders in the adult with congenital heart disease: A lesion-specific review

Knijnik

Lloyd

2022

Kardiol Pol

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There are now more adults living with a history of congenital heart disease than there are children. Modern electrophysiologists must familiarize themselves with the most common congenital lesions requiring electrophysiologic care as adults. Advancements in this field have been made most notably with high-resolution 3D imaging and electroanatomic mapping, left ventricular cannulation techniques, alternative pacing strategies, intracardiac echo, and transeptal access tools.

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Section: Lesion: Asd Avsd Repairsmentioning

confidence: 99%

Treatment of arrhythmia disorders in the adult with congenital heart disease: A lesion-specific review

Knijnik

Lloyd

2022

Kardiol Pol

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“…The following supporting information can be downloaded at: . Table S1: Details of patients with acute transient ischemic attack or stroke at the time of lead malposition diagnosis; Table S2: Details of patients who underwent surgical or percutaneous lead extraction [ 1 , 2 , 3 , 10 , 11 , 12 , 13 , 15 , 16 , 17 , 21 , 22 , 23 , 24 , 25 , 27 , 28 , 30 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 ,…”

mentioning

confidence: 99%

Inadvertent Lead Malposition in the Left Heart during Implantation of Cardiac Electric Devices: A Systematic Review

Spighi

Notaristefano

Piraccini

et al. 2022

JCDD

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Background. The inadvertent lead malposition in the left heart (ILMLH) is an under-recognized event, which may complicate the implantation of cardiac electronic devices (CIEDs). Methods. We investigated the clinical conditions associated with ILMLH and the treatment strategies in these patients. We made a systematic review of the literature and identified 132 studies which reported 157 patients with ILMLH. Results. The mean age of patients was 68 years, and 83 were women. ILMLH was diagnosed, on average, 365 days after CIEDs implantation. Coexisting conditions were patent foramen ovale in 29% of patients, arterial puncture in 24%, perforation of the interatrial septum in 20%, atrial septal defect in 16% and perforation of the interventricular septum in 4%. At the time of diagnosis of ILMLH, 46% of patients were asymptomatic, 31% had acute TIA or stroke and 15% had overt heart failure. Overall, 14% of patients were receiving anticoagulants at the time of diagnosis of ILMLH. After diagnosis of ILMLH, percutaneous or surgical lead extraction was carried out in 93 patients (59%), whereas 43 (27%) received anticoagulation. During a mean 9-month follow-up after diagnosis of ILMLH, four patients experienced TIA or stroke (three on oral anticoagulant therapy and one after percutaneous lead extraction). Conclusion. ILMLH is a rare complication, which is usually diagnosed about one year after implantation of CIEDs. An early diagnosis of ILMLH is important. Lead extraction is a safe and effective alternative to anticoagulants.

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A rare case of sinus venosus atrial septal defect: Malpositioned right atrial pacemaker lead in the left atrium

Patel

Barmore

2023

Journal of Cardiology Cases

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Diagnosis and management of inadvertently placed pacemaker lead in the left ventricle following sinus venosus atrial septal defect repair surgery

Cited by 3 publications

References 6 publications

Treatment of arrhythmia disorders in the adult with congenital heart disease: A lesion-specific review

Treatment of arrhythmia disorders in the adult with congenital heart disease: A lesion-specific review

Inadvertent Lead Malposition in the Left Heart during Implantation of Cardiac Electric Devices: A Systematic Review

A rare case of sinus venosus atrial septal defect: Malpositioned right atrial pacemaker lead in the left atrium

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