Skip to main content
Log in

Inadvertent placement of pacemaker lead into the middle cardiac vein

Unbeabsichtigte Platzierung der Schrittmacherelektrode in die V. cardiaca media

  • e-Herz: Case study
  • Published:
Herz Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Wynn GJ, Weston C, Cooper RJ, Somauroo JD (2013) Inadvertent left ventricular pacing through a patent foramen ovale: identification, management and implications for postpacemaker implantation checks. BMJ Case Rep

  2. Ergun K, Cagli K, Sahin O et al (2005) Atrioventricular membrane perforation: a very rare complication of transvenous pacemaker implantation. J Am Soc Echocardiogr 18:71–74

    Article  PubMed  Google Scholar 

  3. Villanueva FS, Heinsimer JA, Burkman MH et al (1987) Echocardiographic detection of perforation of the cardiac ventricular septum by a permanent pacemaker lead. Am J Cardiol 59:370–371

    Article  CAS  PubMed  Google Scholar 

  4. Cock CC de, Campen CM van, Kamp O, Visser CA (2003) Successful percutaneous extraction of an inadvertently placed left ventricular pacing lead. Europace 5:195–197

    Article  PubMed  Google Scholar 

  5. Shettigar UR, Loungani RR, Smith CA (1989) Inadvertent permanent ventricular pacing from the coronary vein: an electrocardiographic, roentgenographic and echocardiographic assessment. Clin Cardiol 12:267–274

    Article  CAS  PubMed  Google Scholar 

  6. Paravolidakis KE, Hamodraka ES, Kolettis TM et al (2004) Management of inadvertent left ventricular permanent pacing. J Interv Card Electrophysiol 10:237–240

    Article  PubMed  Google Scholar 

  7. Reising S, Safford R, Castello R et al (2007) A stroke of bad luck: left ventricular pacemaker malposition. J Am Soc Echocardiogr 20:1316 e1311–1313

    Article  PubMed  Google Scholar 

  8. Chen TE, Wang CC, Satish OS, Wu D (2007) Electrocardiographic features of ventricular pacing lead in the middle cardiac vein vs. right ventricular apex in a patient with persistent left superior vena cava. J Electrocardiol 40:531–533

    Article  PubMed  Google Scholar 

  9. Barold SS, Banner R (1978) Unusual electrocardiographic pattern during transvenous pacing from the middle cardiac vein. Pacing Clin Electrophysiol 1:31–34

    Article  CAS  PubMed  Google Scholar 

  10. Rodriguez Y, Baltodano P, Tower A et al (2011) Management of symptomatic inadvertently placed endocardial leads in the left ventricle. Pacing Clin Electrophysiol 34:1192–1200

    Article  PubMed  Google Scholar 

  11. Klein HO, Beker B, Sareli P et al (1985) Unusual QRS morphology associated with transvenous pacemakers. The pseudo RBBB pattern. Chest 87:517–521

    Article  CAS  PubMed  Google Scholar 

  12. Yang YN, Yin WH, Young MS (2003) Safe right bundle branch block pattern during permanent right ventricular pacing. J Electrocardiol 36:67–71

    Article  PubMed  Google Scholar 

  13. Okmen E, Erdinler I, Oguz E et al (2006) An electrocardiographic algorithm for determining the location of pacemaker electrode in patients with right bundle branch block configuration during permanent ventricular pacing. Angiology 57:623–630

    Article  PubMed  Google Scholar 

  14. Goldenberg G, Iakobishvili Z, Strasberg B (2013) Electrocardiographic algorithm for the diagnosis of inadvertent implantation of permanent pacemaker lead in the left ventricular cavity. Ann Noninvasive Electrocardiol 18:294–296

    Article  PubMed  Google Scholar 

  15. Friedberg HD (1980) Evaluation of unusual QRS complexes produced by pacemaker stimuli—with special reference to the vectorcardiographic and echocardiographic findings. J Electrocardiol 13:409–415

    Article  CAS  PubMed  Google Scholar 

  16. Coman JA, Trohman RG (1995) Incidence and electrocardiographic localization of safe right bundle branch block configurations during permanent ventricular pacing. Am J Cardiol 76:781–784

    Article  CAS  PubMed  Google Scholar 

  17. Bauersfeld UK, Thakur RK, Ghani M et al (1994) Malposition of transvenous pacing lead in the left ventricle: radiographic findings. AJR Am J Roentgenol 162:290–292

    Article  CAS  PubMed  Google Scholar 

  18. Van Gelder BM, Bracke FA, Oto A et al (2000) Diagnosis and management of inadvertently placed pacing and ICD leads in the left ventricle: a multicenter experience and review of the literature. Pacing Clin Electrophysiol 23:877–883

    Article  Google Scholar 

  19. Deharo JC, Bongiorni MG, Rozkovec A et al (2012) Pathways for training and accreditation for transvenous lead extraction: a European Heart Rhythm Association position paper. Europace 14:124–134

    Article  CAS  PubMed  Google Scholar 

  20. Wilkoff BL, Love CJ, Byrd CL et al (2009) Transvenous lead extraction: Heart Rhythm Society expert consensus on facilities, training, indications, and patient management: this document was endorsed by the American Heart Association (AHA). Heart Rhythm 6:1085–1104

    Article  PubMed  Google Scholar 

  21. Zaher MF, Azab BN, Bogin MB, Bekheit SG (2011) Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report. J Med Case Rep 5:54

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Compliance with ethical guidelines

Conflict of interest. S. Topaloglu, F. Bayraktar, S. Okten, S. Cetin, O. Ozeke, S. Cay, and D. Aras state that there are no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to O. Ozeke MD.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Topaloglu, S., Bayraktar, F., Okten, S. et al. Inadvertent placement of pacemaker lead into the middle cardiac vein. Herz 40, 734–740 (2015). https://doi.org/10.1007/s00059-014-4134-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00059-014-4134-x

Keywords

Navigation