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

Research output: Contribution to journal › Comment/debate › Research › peer-review

7 Citations (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.

Original language	English
Journal	Europace
Volume	16
Issue number	2
Pages (from-to)	240
Number of pages	1
ISSN	1099-5129
DOIs	https://doi.org/10.1093/europace/eut164
Publication status	Published - 2014

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

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 - Moesgaard, Jacob

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

SP - 240

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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