Practice Point

Nature Clinical Practice Cardiovascular Medicine (2006) 3, 646-647
doi:10.1038/ncpcardio0707  
Received 29 June 2006 | Accepted 24 August 2006

Transvenous pacing leads: increased risk of systemic thromboemboli in patients with intracardiac shunts

Mitchell I Cohen

Correspondence Arizona Pediatric Cardiology Consultants, Phoenix Children's Hospital, 1920 East Cambridge Street, Phoenix, AZ 85006, USA

Email
 mitchell_cohen@pediatrix.com

This article has no abstract so we have provided the first paragraph of the full text.

As pediatric cardiologists caring for an increasing patient population surviving congenital heart surgery, we are often confronted with patients requiring a pacemaker or ICD. The decision of whether to implant a pacemaker or ICD via an endocardial or epicardial route is based on a multitude of factors including patient age and size, and whether residual cardiac lesions are present. Inherent in these considerations is the potential that thrombus formation, even on a well-positioned endocardial lead, could result in a paradoxical systemic thromboembolus if there is a residual shunt.

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