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

Jacob Moesgaard; Dominic A M J Theuns; Anna M Thøgersen

doi:10.1093/europace/eut164

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

Jacob Moesgaard
, Dominic A M J Theuns
, Anna M Thøgersen

Publikation: Bidrag til tidsskrift › Kommentar/debat › Forskning › peer review

10 Citationer (Scopus)

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.

Originalsprog	Engelsk
Tidsskrift	Europace
Vol/bind	16
Udgave nummer	2
Sider (fra-til)	240
Antal sider	1
ISSN	1099-5129
DOI	https://doi.org/10.1093/europace/eut164
Status	Udgivet - 2014

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10.1093/europace/eut164

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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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AU - Theuns, Dominic A M J

AU - Thøgersen, Anna M

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

U2 - 10.1093/europace/eut164

DO - 10.1093/europace/eut164

M3 - Comment/debate

C2 - 23933851

SN - 1099-5129

VL - 16

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JO - Europace

JF - Europace

IS - 2

ER -

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

Abstract

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