Abstract
I was grateful to read an interesting paper by Narducci et al. 1 which showed an association of the presence of ‘ghost’ after transvenous lead extraction (TLE) with Charlson co-morbidity index and intra-cardiac echocardiography (ICE) detected endocarditis. They also demonstrated that the occurrence of ‘ghost’ after TLE and systemic infection on admission were found as independent predictors of mortality at median 11 months follow-up. However, the pathophysiological mechanism for development of ‘ghost’ and its association with increased mortality were unclear. Transvenous lead extraction is significantly associated with an increased morbidity and mortality independent of its aetiological …
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