Management of an Inadvertently Placed Transarterial Pacemaker Lead in the Left Ventricle: A Step-by-step Approach
Jakrin Kewcharoen1, Tahmeed Contractor1, Kamal Kotak1
1Department of Cardiology, Loma Linda University Medical Center, Loma Linda, CA, USA.
The Journal of Innovations in Cardiac Rhythm Management
|June 30, 2023
Summary
Pacemaker lead misplacement in the left ventricle was successfully treated with percutaneous removal using the Sentinel Cerebral Protection System. This approach effectively prevented thromboembolic events, ensuring patient safety and recovery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Electrophysiology
Background:
- Inadvertent pacemaker lead placement in the left ventricle poses risks such as thromboembolism, valvular damage, and endocarditis.
- Transarterial lead placement in the left ventricle requires careful management to mitigate potential complications.
Related Concept Videos
01:24Cardiac Catheterization III: Left Heart Catheterization
71
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
71
01:29Cardiomyopathy V: Interprofessional Care
17
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
17
01:26Cardiac Catheterization IV: Nursing Management
73
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
73