• Indian J Crit Care Med · Feb 2019

    Case Reports

    Inadvertent Removal of a Right Ventricular Pacemaker Lead by a Knotted Transvenous Pacing Wire.

    • Evan J Wiens, Colette M Seifer, and Clarence Khoo.
    • Department of Internal Medicine, Max Ready College of Medicine, University of Manitoba, Winnipeg MB, Canada.
    • Indian J Crit Care Med. 2019 Feb 1; 23 (2): 102-103.

    AbstractWe report an unusual complication of permanent pacemaker (PPM) implantation in a patient with a temporary transvenous pacemaker (TVP) in situ, in which the TVP lead formed a knot around the newly-placed right ventricular (RV) lead, complicating TVP removal. The case underscores the fact that suboptimal TVP lead placement, such as looping in the RV, can result in complications during implantation of a permanent pacemaker.

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