title: Implantable defibrillation and thromboembolic events.
abstract: In ICD patients thromboembolic events (TEEs) are described as possible complications at implant or during the follow-up. We report four cases of TEEs (two peripheral and two cerebral; 6.5% of patients) that occurred in our series during a mean follow-up of 19.4 months. The patients had chronic postinfarction LV aneurysm (3) and idiopathic dilated cardiomyopathy (1). None had previous embolisms nor evidence of left atrial or LV clots at standard preoperative transthoracic echocardiography. No paroxysms of atrial fibrillation were documented prior or after ICD implant. We discuss the possible causes of embolization and the suitability of anticoagulant therapy in ICD patients.
authors.affiliation: University of Brescia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Benedini
authors.forename: A
authors.initials: A
authors.lastname: Marchini
authors.forename: A
authors.initials: A
authors.lastname: Curnis
authors.forename: F
authors.initials: F
authors.lastname: Bianchetti
authors.forename: A
authors.initials: A
authors.lastname: Gardini
authors.forename: P
authors.initials: P
authors.lastname: Pinetti
authors.forename: E
authors.initials: E
authors.lastname: Zanelli
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004617:Embolism / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D012307:Risk Factors; D017180:Tachycardia, Ventricular / Q000628:therapy; D013997:Time Factors; D014693:Ventricular Fibrillation / Q000628:therapy
chemical_list: D000925:Anticoagulants