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Inadvertent lead placement in the left ventricle: a case report and brief review
David D McManus1, Mary-Lee Mattei, Karen Rose
1Electrophysiology Section, Division of Cardiology, Department of Medicine, University of Massachusetts Medical Center, Worcester, MA 01655, USA. mcmanusd@ummhc.org
Abstract:
Inadvertent lead placement in the left ventricle (LV) is an uncommon and often under-diagnosed complication of cardiac device implantation. Thromboembolic (TE) events are common and usually secondary to fibrosis or thrombus formation on or around the lead. Anticoagulation can prevent TE events. Percutaneous and surgical LV lead extractions have been performed successfully, but the risks of percutaneous lead removal are not well-defined. In this report, we describe a case of inadvertent LV lead placement and briefly review the contemporary literature.
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