scholarly journals Acute stroke from paradoxical embolism of dense fibrous tissue following pacemaker lead extraction: salvation by mechanical thrombectomy

2015 ◽  
Vol 4 (2) ◽  
pp. 158-161 ◽  
Author(s):  
Nicolas B. Dayal ◽  
Ana Paula Narata ◽  
Haran Burri
Keyword(s):  
Acute Stroke ◽  
Mechanical Thrombectomy ◽  
Fibrous Tissue ◽  
Paradoxical Embolism ◽  
Lead Extraction ◽  
Pacemaker Lead ◽  
Dense Fibrous Tissue

A Complication of Pacemaker Lead Extraction: Paradoxical Embolism of a Lead Fragment in a Leg Artery

1998 ◽  
Vol 21 (12) ◽  
pp. 2699-2700 ◽  
Author(s):  
P. DIEUZAIDE ◽  
N. SAVON ◽  
T. CHALVIDAN ◽  
L. LeTALLEC ◽  
J.C. DeHARO ◽  
...  
Keyword(s):  
Paradoxical Embolism ◽  
Lead Extraction ◽  
Pacemaker Lead

scholarly journals In-Hospital Intravenous Thrombolysis Offers No Benefit in Mechanical Thrombectomy in Optimized Tertiary Stroke Center Setting

2020 ◽  
Author(s):  
Juha-Pekka Pienimäki ◽  
Jyrki Ollikainen ◽  
Niko Sillanpää ◽  
Sara Protto
Keyword(s):  
Clinical Outcome ◽  
Acute Stroke ◽  
Mechanical Thrombectomy ◽  
Clinical Laboratory ◽  
Intravenous Thrombolysis ◽  
Stroke Patients ◽  
Anterior Circulation ◽  
Vessel Occlusion ◽  
Ordinal Logistic Regression Analysis ◽  
Stroke Center

Abstract Purpose Mechanical thrombectomy (MT) is the first-line treatment in acute stroke patients presenting with large vessel occlusion (LVO). The efficacy of intravenous thrombolysis (IVT) prior to MT is being contested. The objective of this study was to evaluate the efficacy of MT without IVT in patients with no contraindications to IVT presenting directly to a tertiary stroke center with acute anterior circulation LVO. Materials and Methods We collected the data of 106 acute stroke patients who underwent MT in a single high-volume stroke center. Patients with anterior circulation LVO eligible for IVT and directly admitted to our institution who subsequently underwent MT were included. We recorded baseline clinical, laboratory, procedural, and imaging variables and technical, imaging, and clinical outcomes. The effect of intravenous thrombolysis on 3-month clinical outcome (mRS) was analyzed with univariate tests and binary and ordinal logistic regression analysis. Results Fifty-eight out of the 106 patients received IVT + MT. These patients had 2.6-fold higher odds of poorer clinical outcome in mRS shift analysis (p = 0.01) compared to MT-only patients who had excellent 3-month clinical outcome (mRS 0–1) three times more often (p = 0.009). There were no significant differences between the groups in process times, mTICI, or number of hemorrhagic complications. A trend of less distal embolization and higher number of device passes was observed among the MT-only patients. Conclusions MT without prior IVT was associated with an improved overall three-month clinical outcome in acute anterior circulation LVO patients.

Carotid Elongation Does Not Affect Angiographic Results of Mechanical Thrombectomy in Acute Stroke

2014 ◽  
Vol 26 (2) ◽  
pp. 183-187 ◽  
Author(s):  
Umut Yilmaz ◽  
Ruben Mühl-Benninghaus ◽  
Andreas Simgen ◽  
Wolfgang Reith ◽  
Heiko Körner
Keyword(s):  
Acute Stroke ◽  
Mechanical Thrombectomy

Percutaneous pacemaker lead extraction and stent implantation for superior vena cava occlusion due to pacemaker leads

1996 ◽  
Vol 77 (8) ◽  
pp. 670-672 ◽  
Author(s):  
Eric Rosenthal ◽  
Shakeel A. Qureshi ◽  
Michael Tynan ◽  
Clifford A. Bucknall
Keyword(s):  
Superior Vena Cava ◽  
Stent Implantation ◽  
Superior Vena ◽  
Vena Cava ◽  
Lead Extraction ◽  
Pacemaker Lead ◽  
Pacemaker Leads

The cardiac conduction system in Hurler syndrome: pathological features and clinical implications

1992 ◽  
Vol 2 (2) ◽  
pp. 196-199
Author(s):  
Louis Tsun-cheung Chow ◽  
Wing-Hing Chow
Keyword(s):  
Sinus Node ◽  
Fibrous Tissue ◽  
Conduction System ◽  
Cardiac Conduction ◽  
Cardiac Conduction System ◽  
Clinical Implications ◽  
Hurler Syndrome ◽  
Pathological Features ◽  
Hydropic Degeneration ◽  
Dense Fibrous Tissue

SummaryWe studied the cardiac conduction system in a case of Hurler syndrome. There was dense fibrosis of the supporting matrix of the sinus node and accumulation of mucopolysaccharide in the nodal cells. The bundle branches showed prominent hydropic degeneration, being encased and punctuated by dense fibrous tissue. These changes in the conduction system may predispose to the development of arrhythmias, accounting for the sudden deaths in Hurler syndrome.

scholarly journals B-PO03-056 CULPRIT, BYSTANDER, OR A HOLE OTHER MATTER: ENDOCARDIAL LV PACEMAKER LEAD EXTRACTION FOR SEVERE MITRAL REGURGITATION

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S211
Author(s):  
Christopher M. Verdick ◽  
Uday Gajjandra Sandhu ◽  
Ryle Przybylowicz ◽  
Bassel Beitinjaneh ◽  
Charles A. Henrikson
Keyword(s):  
Mitral Regurgitation ◽  
Lead Extraction ◽  
Severe Mitral Regurgitation ◽  
Pacemaker Lead
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