Intrapulmonary artery coiling of a permanent pacing lead

Migration of intracardiac transvenous pacing leads may occur. There is a known risk of intrapulmonary ventricular pacing lead migration in patients with endocardial lead systems. In the current report we present the late intrapulmonary migration of an endocardial atrial pacing lead body. The patient had undergone antitachycardia pacemaker placement to control recurrent atrial tachyarrhythmias following the Fontan procedure. Although the lead electrode remained in place and continued to pace, the lead body migrated, causing severe obstruction to blood flow. This resulted in severe cardiac decompensation, which was ultimately ameliorated by lead repositioning.

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Late Endocardial Pacing Lead Body Migration Compromising Fontan Physiology

O’Connor

Case

Wienecke

et al. 1996

Pacing Clinical Electrophis

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Intrapulmonary artery coiling of a permanent pacing lead

Abstract: Summary:Intrapulmonary artery displacement of a permanent ventricular lead is reported to be a severe form of lead coiling and is attributed to the failure of the futation procedure.The lead instability indicated a need for surgical correction.

Cited by 1 publication

References 2 publications

Late Endocardial Pacing Lead Body Migration Compromising Fontan Physiology

Late Endocardial Pacing Lead Body Migration Compromising Fontan Physiology

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