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First Multi-Detector Computed Tomography Evidence of Transcatheter Pacing System Migration and Embolization into the Pulmonary Vasculature

Valente Tullio, Bocchini Giorgio, Bigazzi Maurizio Cappelli, Muto Massimo, Golino Paolo, Sica Giacomo,
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 ( Valente Tullio ) - Monaldi Hospital Department of Diagnostic Imaging Division of Radiology
 ( Bocchini Giorgio ) - Monaldi Hospital Department of Diagnostic Imaging Division of Radiology
 ( Bigazzi Maurizio Cappelli ) - Vanvitelli University Monaldi Hospital Division of Cardiology
 ( Muto Massimo ) - Monaldi Hospital Department of Diagnostic Imaging Division of Radiology
 ( Golino Paolo ) - Vanvitelli University Monaldi Hospital Division of Cardiology
 ( Sica Giacomo ) - Monaldi Hospital Department of Diagnostic Imaging Division of Radiology

Abstract


Transcatheter leadless pacemaker dislodgment is a rare and potentially fatal complication of leadless device implantation. We present the first case of multidetector computed tomography images of leadless pacemaker migration and embolization in the pulmonary middle lobe artery. The patient was managed by percutaneous retrieval of the dislodged device and re-implantation in the appropriate position.

키워드

Arrhythmia surgery; Device; Pulmonary embolism; Pacemaker; Computed tomography

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