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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