Intracardiac thrombi fluttering like hair in the wind at VT ablation
Kanae Hasegawa1,2, Edward M Powers1, Zachary T Yoneda1
1Department of Medicine, Cardiovascular Division, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Introduction:
Intracardiac echocardiography (ICE) reveals mobile thrombus on implantable electronic device leads in some patients undergoing electrophysiologic procedures.
Methods:
ICE was performed in a patient undergoing ventricular tachycardia (VT) ablation.
Results:
ICE showed extensive mobile thrombi on the implantable cardioverter defibrillator lead. Radiofrequency catheter ablation of VT from perimitral scar was safely performed via a retrograde aortic approach. After the procedure, chronic anticoagulation was initiated. CT-angiography of the chest 2 months later showed no pulmonary emboli.
Conclusions:
The significance of these thrombi, as related to chronic pulmonary embolization, warrants further study.
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