Although provisional pacemaker implantation can safely be done in many cases, a rare complication such as knotted electrode has been described, especially when the procedure is performed without fluoroscopy guidance. We describe a case of knot creation in a provisional pacemaker which was successfully retrieved using a snare after cutting the electrode proximally.

BACKGROUND Patients with atrial fibrillation (AF) often undergo AV junction ablation (AVJA) and pacemaker implantation. Right ventricular (RV) pacing contributes to increased risk of heart failure (HF), which may be mitigated by biventricular pacing. We sought to determine the impact of AVJA concurrent with RV versus biventricular pacemaker implantation on AF and HF hospitalizations. METHODS ...

Background: Atrioventricular (AV) block in children may pose a challenge for phycisians. However, it can be detected with careful physical examination.
 Case illustration: A 4 month old infant presented bradycardia that did not improve during observation period. Her electrocardiography (ECG) showed complete atrioventricular and her echocardiography secundum atrial septal defect (ASD) paten...

A case of a delayed perforation of the right ventricle by the pacemaker lead in a 67-year-old woman is presented. Perforation, mimicking stenocardial symptoms, was incidentally diagnosed on a computed tomography chest scan. Percutaneous lead extraction was successfully performed, with simultaneous implantation of a new pacemaker lead.

The cover image is based on the Research Article Assessing cardiac mechanical dyssynchrony in left bundle branch area pacing and right ventricular septal using myocardial perfusion scintigraphy acute phase of pacemaker implantation by Keisuke Miyajima MD et al., https://doi.org/10.1111/jce.15609.

UNLABELLED A 3-month-old male infant received transvenous temporary pacemaker for acquired complete atrioventricular block. However, a right ventricle perforation by the pacing lead was found incidentally when the patient was receiving permanent pacemaker implantation nineteen days after temporary pacing. There was no pacemaker dysfunction, active bleeding or hemopericardium. The temporary paci...

(A) Chest X-ray after pacemaker implantation (A). (B) Four days later, chest X-ray showed the displacement of the leads into the right atrium and the superior vena cava, with both the leads being wrapped around the pacemaker generator. (C) A few months later, a repeat chest X-ray showed a similar displacement of both the leads. A 67-year-old woman who underwent pacemaker implantation 4 days ago...

Objective: There are very limited data of complications pacemaker implantation in Vietnam
 Method and Results: From 1/2015 to 12/2019, 1227 consecutive patients with bradycardias, aged 60,39 ± 18,93 years (40,34% male) were underwent the implantation. Models is 59,01% one chamber device 40,99% two chambers device. Early pneumothorax 0,24%, hematoma pocket 1,87%, lead dislodgment 0,57%. Lat...

High-degree atrioventricular block (HAVB) or complete heart (CHB) is a common complication associated with transcatheter aortic valve replacement (TAVR). However, some patients HAVB/CHB recover time. The results of electrophysiological studies (EPSs) using permanent pacemaker implantation (PPI) in suspicious are considered controversial.

Cardiac perforation by pacemaker (PM) lead is a rare but potentially life-threatening complication. The clinical presentation highly variable. Patients may be asymptomatic or present with chest pain, dyspnea tamponade. In this case, we report patient implantation who developed stubborn cough secondary to perforation.