Right Bundle Branch Block After Transvenous Lead Extraction: An Unreported Complication With Potentially Severe Outcomes.

IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Karanjeet Chauhan, Alistair Royse, Colin Royse, Joseph Morton, Gareth Wynn
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引用次数: 0

Abstract

Introduction: Right bundle branch block (RBBB) following cardiac device extraction has not been previously reported but may have catastrophic consequences.

Methods and results: We present two cases of young male patients who developed RBBB following the extraction of single chamber TV ICD systems where the coil was adherent close to the superior tricuspid valve annulus. Both patients had a subcutaneous ICD (SICD) implanted but suffered an inappropriate shock due to T-wave oversensing, requiring very early SICD removal for one patient.

Conclusion: The development of RBBB following the extraction of a TV ICD is a previously unreported complication and may cause significant sensing problems if an SICD is implanted subsequently. Placement of the ICD lead tip in the right ventricular outflow tract or high on the intraventricular septum may predispose to this complication.

导言:心脏装置拔出后出现右束支传导阻滞(RBBB)的病例以前从未报道过,但可能会造成灾难性后果:我们介绍了两例年轻男性患者,他们在拔出单腔电视 ICD 系统后出现 RBBB,线圈紧贴三尖瓣上瓣环。这两名患者都植入了皮下 ICD(SICD),但由于 T 波过感而遭受了不适当的电击,其中一名患者需要尽早取出 SICD:结论:拔出电视 ICD 后出现 RBBB 是一种以前未报道过的并发症,如果随后植入 SICD,可能会导致严重的感应问题。将 ICD 导联尖端置于右心室流出道或室间隔高位可能会导致这种并发症。
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来源期刊
Pace-Pacing and Clinical Electrophysiology
Pace-Pacing and Clinical Electrophysiology 医学-工程:生物医学
CiteScore
2.70
自引率
5.60%
发文量
209
审稿时长
2-4 weeks
期刊介绍: Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.
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