Abstract
Inadvertent placement of pacemaker and implantable cardioverter-defibrillator (ICD) leads in the left ventricle (LV) is a rare but well-recognized complication of device implantation [1]. We report a case of inadvertent transarterial implantation of dual-chamber ICD leads; the ventricular lead positioned in the LV and the atrial lead positioned in the aortic root. The tip of the atrial lead migrated across the aortic wall and captured the epicardial surface of the left atrium. The diagnosis was made 5 years after the implantation procedure with no apparent adverse events directly related to left heart lead placement.
References
Van Gelder, B. M., Bracke, F. A., Oto, A., Yildirir, A., Haas, P. C., Seger, J. J., 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 and Clinical Electrophysiology, 23(5), 877–883.
Lepore, V., Pizzarelli, G., & Dernevik, L. (1987). Inadvertent transarterial pacemaker insertion: an unusual complication. Pacing and Clinical Electrophysiology, 10(4 Pt 1), 951–954.
Mazzetti, H., Dussaut, A., Tentori, C., Dussaut, E., & Lazzari, J. O. (1990). Transarterial permanent pacing of the left ventricle. Pacing and Clinical Electrophysiology, 13(5), 588–592.
Kusniec, J., Mazur, A., Hirsch, R., & Strasberg, B. (1998). Left ventricular malposition of a transvenous cardioverter defibrillator lead: a 3-year follow-up. Pacing and Clinical Electrophysiology, 21(6), 1313–1315.
Paravolidakis, K. E., Hamodraka, E. S., Kolettis, T. M., Psychari, S. N., & Apostolou, T. S. (2004). Management of inadvertent left ventricular permanent pacing. Journal of Interventional Cardiac Electrophysiology, 10(3), 237–240.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Issa, Z.F., Rumman, S.S. & Mullin, J.C. Inadvertent transarterial insertion of atrial and ventricular defibrillator leads. J Interv Card Electrophysiol 24, 63–66 (2009). https://doi.org/10.1007/s10840-008-9314-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10840-008-9314-2