Percutaneous right atrial pacemaker lead repositioning using a regular deflectable ablation catheter

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Percutaneous right atrial pacemaker lead repositioning using a regular deflectable ablation catheter

Lead dislocation is one of the most undesired complications of permanent pacemaker implantation. The rate of dislodgement of atrial pacing leads is nearly 3% [1]. Reopening the pacemaker pocket and repositioning the lead is the most commonly used technique for correcting dislocations which occur in the early period after implantation. However, this increases the risk of pocket infection and inc...

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Successful percutaneous repositioning of a dislodged atrial pacemaker lead with a deflectable catheter.

A 67-year-old male patient with ischemic dilated cardiomyopathy underwent implantation of an implantable cardioverter-defibrillator with cardiac resynchronization therapy about one month ago. The implantation process was successful and the patient was discharged in good condition. At the routine first month follow-up, pacemaker analysis revealed that there was no atrial pacing and sensing, alth...

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percutaneous repositioning of dislodged atrial pacing lead

the overall rate of atrial pacing lead dislodgement is estimated to be about 3%. these leads are generally repositioned via a second operation through opening the pacemaker pocket. some operators have introduced percutaneous techniques using snare system or deflectable catheters for this purpose. in this article we present our experience with five cases of percutaneous lead repositioning. three...

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Attenuation of interatrial conduction using right atrial septal catheter ablation.

OBJECTIVES We sought to characterize a method of attenuating interatrial conduction using radiofrequency ablated lesions applied to the right atrial septum. BACKGROUND Interatrial conduction occurs in specific zones. Recent data suggest that interatrial conduction can be important in triggering and sustaining atrial fibrillation. Therefore, a method for attenuating interatrial conduction may ...

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Right atrial pacemaker lead thrombosis incidentally detected by transesophageal echocardiography.

In a 62-year-old man with permanent atrial fibrillation and recurrent stroke, a large right atrial thrombus attached to a permanent pacemaker lead was incidentally identified by transesophageal echocardiography. Surgical treatment, recommended because of the large dimensions of the mass, was refused by the patient, and thrombus was successfully dissolved by anticoagulant treatment. Pathogenesis...

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ژورنال

عنوان ژورنال: Advances in Interventional Cardiology

سال: 2016

ISSN: 1734-9338

DOI: 10.5114/aic.2016.59374