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Europace. 2014 Feb;16(2):240. doi: 10.1093/europace/eut164. Epub 2013 Aug 9.

Paradoxical thromboembolic stroke during extraction of a recalled St Jude Medical Riata defibrillator lead with conductor externalization.

Author information

1
Department of Cardiology and Center for Cardiovascular Research, Aalborg University Hospital, Hobrovej 18-22, 9000 Aalborg, Denmark.

Abstract

Recalled St Jude Medical Riata leads have a high rate of insulation failures with potential thrombogenic externalized conductors. We report a paradoxical thromboembolic stroke through a persistent foramen ovale during extraction of a lead with externalization. We suggest mandatory transesophageal echocardiography prior to extraction to screen for lead-related thrombosis and routes of right-to-left shunting to reduce risk of thromboembolic complications.

PMID:
23933851
DOI:
10.1093/europace/eut164
[Indexed for MEDLINE]

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