Intracardiac thrombi fluttering like hair in the wind at VT ablation.
ablation
device
thrombi
ventricular tachycardia
Journal
Journal of cardiovascular electrophysiology
ISSN: 1540-8167
Titre abrégé: J Cardiovasc Electrophysiol
Pays: United States
ID NLM: 9010756
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
06
09
2023
received:
14
07
2023
accepted:
13
09
2023
medline:
20
11
2023
pubmed:
3
10
2023
entrez:
3
10
2023
Statut:
ppublish
Résumé
Intracardiac echocardiography (ICE) reveals mobile thrombus on implantable electronic device leads in some patients undergoing electrophysiologic procedures. ICE was performed in a patient undergoing ventricular tachycardia (VT) ablation. 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. The significance of these thrombi, as related to chronic pulmonary embolization, warrants further study.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2403-2405Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
Supple GE, Ren JF, Zado ES, Marchlinski FE. Mobile thrombus on device leads in patients undergoing ablation: identification, incidence, location, and association with increased pulmonary artery systolic pressure. Circulation. 2011;124(7):772-778. doi:10.1161/CIRCULATIONAHA
Sugrue A, DeSimone CV, Lenz CJ, Packer DL, Asirvatham SJ. Mobile thrombus on cardiac implantable electronic device leads of patients undergoing cardiac ablation: incidence, management, and outcomes. J Interv Card Electrophysiol. 2016;46(2):115-120. doi:10.1007/s10840-015-0085-2
Rahbar AS, Azadani PN, Thatipelli S, Fleischmann KE, Nguyen N, Lee BK. Risk factors and prognosis for clot formation on cardiac device leads. Pacing Clin Electrophysiol. 2013;36(10):1294-1300. doi:10.1111/pace.12210