Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 23 , ISSUE 2 ( February, 2019 ) > List of Articles

CASE REPORT

Inadvertent Removal of a Right Ventricular Pacemaker Lead by a Knotted Transvenous Pacing Wire

Evan J Wiens, Colette M Seifer, Clarence Khoo

Keywords : Knot, Loop, Right ventricular lead, Transvenous pacemaker

Citation Information : Wiens EJ, Seifer CM, Khoo C. Inadvertent Removal of a Right Ventricular Pacemaker Lead by a Knotted Transvenous Pacing Wire. Indian J Crit Care Med 2019; 23 (2):102-103.

DOI: 10.5005/jp-journals-10071-23126

License: CC BY-NC 4.0

Published Online: 01-09-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

We report an unusual complication of permanent pacemaker (PPM) implantation in a patient with a temporary transvenous pacemaker (TVP) in situ, in which the TVP lead formed a knot around the newly-placed right ventricular (RV) lead, complicating TVP removal. The case underscores the fact that suboptimal TVP lead placement, such as looping in the RV, can result in complications during implantation of a permanent pacemaker.


PDF Share
  1. Diaz-Miguel R, Gómez Grande M. Temporary internal pacing. Med Intensiva 2014;38:575-579.
  2. Karanikas I, Vrachatis A et al. Removal of knotted intravascular devices. Case report and review of the literature. Eur J Vasc Endovasc Surg 2002;23:189-194.
  3. Valenzuala-García L, Almendro-Delia M et al. Percutaneous retrieval of a pulmonary artery catheter knot in pacing electrodes. Cardiovasc Intervent Radiol 2007;30:1082-1084.
  4. Nawale J, Patil S et al. Successful percutaneous retrieval of unusually knotted temporary pacemaker lead. Indian Pacing Electrophysiol J 2018;18:148-149.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.