scholarly journals Implantation of the Right Ventricular Lead of an Implantable Cardioverter-Defibrillator Complicated by Apical Myocardial Infarction

Circulation ◽  
2012 ◽  
Vol 126 (10) ◽  
pp. 1314-1315 ◽  
Author(s):  
Nobuhiro Nishiyama ◽  
Seiji Takatsuki ◽  
Takehiro Kimura ◽  
Yoshiyasu Aizawa ◽  
Kotaro Fukumoto ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricular ◽  
Implantable Cardioverter Defibrillator ◽  
Cardioverter Defibrillator ◽  
Ventricular Lead ◽  
The Right

scholarly journals Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography

Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 191
Author(s):  
Carlo Caiati ◽  
Paolo Pollice ◽  
Luigi Truncellito ◽  
Mario Erminio Lepera ◽  
Stefano Favale
Keyword(s):  
Pericardial Effusion ◽  
Right Ventricular ◽  
Implantable Cardioverter Defibrillator ◽  
Optimal Management ◽  
Cardiac Perforation ◽  
Cardioverter Defibrillator ◽  
Active Fixation ◽  
Fixation Screw ◽  
The Right ◽  
Fluoroscopy Guidance

We report the case of a 51-year-old patient who underwent the implantation of a bi-ventricular implantable cardioverter defibrillator (ICD) complicated by a sub-acute right ventricular minimal perforation with pericardial effusion and echocardiographic signs of tamponade. A new echocardiographic plane orientation allowed us to diagnose this condition in emergency and to make the right decision without delay, which consisting in unscrewing the active fixation screw under fluoroscopy guidance, while the pericardiocentesis was postponed. Thanks to the intervention focused on eliminating the cause of the postcardiac injury syndrome, the patient recovered rapidly and ultimately avoided the pericardiocentesis procedure.

scholarly journals Chest Pain Associated with Moderator Band Pacing

2014 ◽  
Vol 41 (5) ◽  
pp. 551-553 ◽  
Author(s):  
Anil K. Goli ◽  
Karoly Kaszala ◽  
Mohammed N. Osman ◽  
John Lucke ◽  
Roger Carrillo
Keyword(s):  
Chest Pain ◽  
Right Ventricular ◽  
Implantable Cardioverter Defibrillator ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Lead Extraction ◽  
Cardioverter Defibrillator ◽  
Moderator Band ◽  
Ventricular Lead ◽  
Defibrillator Lead

A 65-year-old man was evaluated for chronic chest pain that had been present for 8 years after placement of a dual-chamber implantable cardioverter-defibrillator to treat inducible ventricular tachycardia. Previous coronary angiography had revealed nonobstructive coronary artery disease and a left ventricular ejection fraction of 0.45 to 0.50, consistent with mild idiopathic nonischemic cardiomyopathy. Evaluation with chest radiography and transthoracic echocardiography showed the implantable cardioverter-defibrillator lead to be embedded within the right ventricle at the moderator band, which had mild calcification. Treatment included extraction of the dual-coil lead and placement of a new single-coil right ventricular lead at the mid septum. The patient had complete relief of symptoms after the procedure. This case shows that chest pain can be associated with the placement of a right ventricular implantable cardioverter-defibrillator lead in the moderator band and that symptomatic relief can occur after percutaneous lead extraction and the implantation of a new right ventricular lead to the mid septal region.

scholarly journals Treatment of Ventricular Tachycardia Induced by Coil of Ventricular Lead of Implantable Cardioverter Defibrillator

2019 ◽  
Vol 32 (1) ◽  
pp. 10-13
Author(s):  
William Oliveira de Souza ◽  
Pablo Ferreira Reis ◽  
Fábio Lopes Erthal ◽  
Rodrigo Minati Barbosa
Keyword(s):  
Heart Disease ◽  
Ventricular Tachycardia ◽  
Implantable Cardioverter Defibrillator ◽  
Electrophysiological Study ◽  
Shock Therapy ◽  
Unknown Etiology ◽  
Cardioverter Defibrillator ◽  
Ventricular Lead ◽  
The Right ◽  
Multiple Episodes

Implantable cardioverter defibrillator (ICD) -DDD for arrhythmogenic heart disease of unknown etiology, with the induction of ventricular tachycardia by the right ventricle (RV) of the shock electrode. The arrhythmia generated by the ICD electrode itself was the cause of multiple episodes with appropriate anti-tachycardia pacing (ATP) and shock therapy. The etiology of the arrhythmia was confirmed by electrophysiological study and successful treatment was performed with ablation, without the need for surgical repositioning of the electrode.

INFLUENCE OF RIGHT VENTRICULAR LEAD IMPLANTATION SITE CHOICE ON PACING EFFICIENCY

2020 ◽  
pp. 13-17
Author(s):  
Dmitrii Aleksandrovich Lopyn ◽  
Stanislav Valerevich Rybchynskyi ◽  
Dmitrii Evgenevich Volkov
Keyword(s):  
Heart Failure ◽  
Right Ventricular ◽  
Longitudinal Strain ◽  
Treatment Options ◽  
Global Longitudinal Strain ◽  
Optimal Method ◽  
Cardiac Stimulation ◽  
Ventricular Lead ◽  
The Right ◽  
Stimulation Of

Currently the electrophysiological treatment options have been considered to be the most effective for many patients with arrhythmogenic cardiomyopathies, as well as in those with arrhythmias on the background of heart failure. Currently, the dependence of efficiency of the pacemakers on the location of the electrodes has been proven. In order to study the effect of a myocardial dysynchrony on the effectiveness of pacing depending on the location of the right ventricular electrode, an investigation has been performed. This study comprised the patients with a complete atrioventricular block, preserved ejection fraction of the left ventricle (more than 50 %), with no history of myocardial infarction, who were implanted with the two−chamber pacemaker. It has been established that the best results were achieved with a stimulation of the middle and lower septal zone of the right ventricle, the worst ones were obtained with a stimulation of its apex. It has been found that the dynamics of the magnitude of segmental strains and a global longitudinal strain coincided with the dynamics of other parameters of the pacemaker effectiveness, which indicated the pathogenetic value of myocardial dysynchrony in the progression of heart failure after implantation of the pacemaker. Therefore it could be concluded that the studying of myocardial mobility by determining a longitudinal strain for assessing the functional state of the myocardium and the effectiveness of pacing is highly advisable. It is emphasized that the use of the latest strains−dependent techniques for cardiac performance evaluation in the patients with bradyarrhythmia have a great potential to predict the development of chronic heart failure and to choose the optimal method of physiological stimulation of the heart. Key words: right ventricular lead, cardiac stimulation, myocardial dyssynchrony.

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