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

Authors
  • Larsen, Jacob M
  • Theuns, Dominic A M J
  • Thøgersen, Anna M
Type
Published Article
Journal
EP Europace
Publisher
Oxford University Press
Publication Date
Feb 01, 2014
Volume
16
Issue
2
Pages
240–240
Identifiers
DOI: 10.1093/europace/eut164
PMID: 23933851
Source
Medline
License
Unknown

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.

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