Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon
We present a case of a patient with a transient ischaemic attack (TIA) likely due to paradoxical embolism through a patent foramen ovale (PFO). Her medical history included 2nd-degree heart block Mobitz II, which manifested with recurrent syncopes and was treated with a dual chamber pacemaker. Durin...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2023/5586197 |
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| author | Andreas Goldschmied Juergen Schreieck Michal Droppa |
| author_facet | Andreas Goldschmied Juergen Schreieck Michal Droppa |
| author_sort | Andreas Goldschmied |
| collection | DOAJ |
| description | We present a case of a patient with a transient ischaemic attack (TIA) likely due to paradoxical embolism through a patent foramen ovale (PFO). Her medical history included 2nd-degree heart block Mobitz II, which manifested with recurrent syncopes and was treated with a dual chamber pacemaker. During the interventional PFO closure procedure, we noted entrapment of the atrial pacemaker lead between the right-sided occluder disc and the interatrial septum. We were able to successfully move the lead aside using a 24 mm sizing balloon and subsequently developed the right-sided occluder disc in the correct position. In conclusion, pacemaker-lead entrapment between a PFO occluder disc and the interatrial septum can be prevented using a sizing balloon. |
| format | Article |
| id | doaj-art-cb318ac266ec44c3a84ea20f7b59c5b4 |
| institution | OA Journals |
| issn | 2090-6412 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-cb318ac266ec44c3a84ea20f7b59c5b42025-08-20T02:19:48ZengWileyCase Reports in Cardiology2090-64122023-01-01202310.1155/2023/5586197Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing BalloonAndreas Goldschmied0Juergen Schreieck1Michal Droppa2Department of Cardiology and AngiologyDepartment of Cardiology and AngiologyDepartment of Cardiology and AngiologyWe present a case of a patient with a transient ischaemic attack (TIA) likely due to paradoxical embolism through a patent foramen ovale (PFO). Her medical history included 2nd-degree heart block Mobitz II, which manifested with recurrent syncopes and was treated with a dual chamber pacemaker. During the interventional PFO closure procedure, we noted entrapment of the atrial pacemaker lead between the right-sided occluder disc and the interatrial septum. We were able to successfully move the lead aside using a 24 mm sizing balloon and subsequently developed the right-sided occluder disc in the correct position. In conclusion, pacemaker-lead entrapment between a PFO occluder disc and the interatrial septum can be prevented using a sizing balloon.http://dx.doi.org/10.1155/2023/5586197 |
| spellingShingle | Andreas Goldschmied Juergen Schreieck Michal Droppa Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon Case Reports in Cardiology |
| title | Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon |
| title_full | Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon |
| title_fullStr | Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon |
| title_full_unstemmed | Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon |
| title_short | Pacemaker Lead Entanglement during Interventional PFO Occlusion: Salvage Using a Sizing Balloon |
| title_sort | pacemaker lead entanglement during interventional pfo occlusion salvage using a sizing balloon |
| url | http://dx.doi.org/10.1155/2023/5586197 |
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