Entrapment of right atrial pacemaker lead by patent foramen ovale closure device: Successful percutaneous salvage

Meltser, Henry; Hoyer, Mark V.; Kalaria, Vijay G.

doi:10.1002/ccd.20445

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Quevedo et al used a cardiac biopsy sheath to snare and release an entrapped pacemaker lead beneath the disc of an Amplatzer occluder, while Demkow et al resolved a similar situation using a pigtail catheter with a cut-off tip [ 5 , 6 ]. Meltser et al employed cardiac biopsy forceps to release an entrapped lead beneath a CardioSEAL device [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon

Goldschmied,

Schreieck,

Droppa

2023

Case Reports in Cardiology

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We present a case of a patient with a transient ischaemic attack (TIA) likely due to paradoxical embolism through a patent foramen ovale (PFO). Her medical history included 2nd-degree heart block Mobitz II, which manifested with recurrent syncopes and was treated with a dual chamber pacemaker. During the interventional PFO closure procedure, we noted entrapment of the atrial pacemaker lead between the right-sided occluder disc and the interatrial septum. We were able to successfully move the lead aside using a 24 mm sizing balloon and subsequently developed the right-sided occluder disc in the correct position. In conclusion, pacemaker-lead entrapment between a PFO occluder disc and the interatrial septum can be prevented using a sizing balloon.

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Section: Discussionmentioning

confidence: 99%

Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon

Goldschmied,

Schreieck,

Droppa

2023

Case Reports in Cardiology

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“…In a case described by Meltser et al, a right atrial pacemaker lead was entrapped by the CardioSEAL device (NMT Medical, Boston, MA) [3]. The complication was approached with the use of right heart biopsy forceps by grabbing one of the right‐sided arms of the CardioSEAL device and pulling it downward under fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of pacemaker leads crossing in a near proximity of the PFO can potentially interfere with the correct implantation of the device. There is a single report on entrapment of right atrial lead by the closure device with successful percutaneous salvage [3]. No established method of intraprocedural management in this group of patients exists.…”

Section: Introductionmentioning

confidence: 99%

Avoiding pacemaker lead entrapment during PFO closure

Demkow

Małek

Rużyłło

2008

Cathet Cardio Intervent

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We present a case of a patient with a history of cryptogenic stroke and implanted dual-chamber pacemaker referred for transcatheter closure of patent foramen ovale (PFO). During the procedure ventricular lead of the pacemaker was found to run alongside the PFO. This interrupted correct positioning and deployment of the Amplatzer occluder without sandwiching of the lead. A self-prepared pigtail catheter with a cut off tip was used to move the lead away from the PFO. Subsequently, an occluder was successfully placed. In conclusion, difficulties in Amplatzer occluder placement in patients with implanted pacemaker may be overcome by a manoeuvre which prevents lead entrapment by the device. '

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Percutaneous, Minimally Invasive Retrieval of a Dislodged and Impacted Device from the Abdominal Aorta, Four Months After Closure of an Atrial Septal Defect

Wagdi

Kunz

2008

The American Journal of Cardiology

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Entrapment of right atrial pacemaker lead by patent foramen ovale closure device: Successful percutaneous salvage

Cited by 5 publications

References 14 publications

Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon

Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon

Avoiding pacemaker lead entrapment during PFO closure

Percutaneous, Minimally Invasive Retrieval of a Dislodged and Impacted Device from the Abdominal Aorta, Four Months After Closure of an Atrial Septal Defect

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