title: Residual fibrous tissue floating in the right atrium after percutaneous pacemaker lead extraction: an unusual complication early detected by intracardiac echocardiography.
abstract: Extraction of pacemaker leads represents the optimal therapy in patients with endocarditis involving the pacemaker leads. The percutaneous approach is becoming popular. However, complications of percutaneous extraction are not rare and incomplete removal of the vegetations with embolization in the pulmonary arteries has been described. This case report describes for the first time a case of incomplete removal of the fibrous sheath covering the lead, with residual tissue floating in the right atrium after pacemaker/ICD extraction. ICE monitoring was essential for early detection and correct diagnosis of this complication.
authors.forename: Vittoria
authors.initials: V
authors.lastname: Rizzello
authors.forename: Antonio
authors.initials: A
authors.lastname: Dello Russo
authors.forename: Michela
authors.initials: M
authors.lastname: Casella
authors.forename: Roberto
authors.initials: R
authors.lastname: Biddau
mesh_terms: D000368:Aged; D020878:Device Removal; D003937:Diagnosis, Differential; D004452:Echocardiography; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D006325:Heart Atria; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000628:therapy*