DSA diagnosis of pulmonary embolization from intracardial thrombus in a patient with permanent pacing catheter.
Pulmonary embolization in patients with implanted pacemakers is rare and an intracardiac thrombus attached to the distal end of a newly implanted ventricular endocardial electrode following removal of a previously implanted lead is a curiosity. We have documented such a case by digital subtraction angiography, a minimally invasive procedure that demonstrates both an intracardiac thrombus and secondary pulmonary embolization in a single procedure, which also allows simplified follow-up evaluation following therapy.
Clinic for Diagnostic Radiology ILF, Prague, CSSR.
J
J
Neuwirth
J
J
Bohutová
J
J
Kolár
J
J
Kautzner
M
M
Novák
D015901:Angiography, Digital Subtraction; D002405:Catheterization, Central Venous; D005260:Female; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology; D013927:Thrombosis / Q000150:complications*