Abstract
Screening X-ray (Figure) demonstrates various stages of rhythm device treatment performed in one patient over 35 years. This commenced with dual chamber pacemaker implantation (A). Upgrade to dual chamber defibrillator implantation was performed with epicardial ventricular pacemaker leads (B) and defibrillator patch electrodes (C) via median sternotomy (D). Upgrade to triple chamber stimulation with laser extraction for isolation defect of the right atrial lead, exchanging the obsolete right ventricular pace/sense electrode for a shock lead (E). The increasing longevity of patients undergoing device treatment will confront us with complex lead anatomy requiring interdisciplinary planning for treatment of these patients. Lead abandonment will confront us with a multitude of difficulties such as vena caval thrombosis due to lead overload and technical challenge in case of lead infection requiring explantation procedures. Lead magnetic resonance imaging compatibility remains an important issue in indication for explantation with special attention to patients with...
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Schedule a callMore From: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
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