title: Acute stroke from paradoxical embolism of dense fibrous tissue following pacemaker lead extraction: salvation by mechanical thrombectomy.
abstract: Systemic embolization is a dreaded complication of transvenous lead extraction (TLE), even without visible vegetations. Preoperative patent foramen ovale evaluation is important, justifying neurological surveillance or consideration of surgical extraction in selected cases. In case of stroke after TLE, mechanical thrombectomy is a successful therapy, and should be readily available.
authors: Cardiology Service University Hospital of Geneva Geneva Switzerland.
authors: Nicolas B
authors: NB
authors: Dayal
authors: Radiology Service University Hospital of Geneva Geneva Switzerland.
authors: Ana Paula
authors: AP
authors: Narata
authors: Cardiology Service University Hospital of Geneva Geneva Switzerland.
authors: Haran
authors: H
authors: Burri
keywords: Embolic stroke; lead extraction; pacemaker; patent foramen ovale; thrombectomy