Intracardiac thrombi fluttering like hair in the wind at VT ablation

Author:

Hasegawa Kanae12ORCID,Powers Edward M.1,Yoneda Zachary T.1ORCID,Richardson Travis D.1ORCID,Stevenson William G.1ORCID

Affiliation:

1. Department of Medicine, Cardiovascular Division Vanderbilt University Medical Center Nashville Tennessee USA

2. Department of Cardiovascular Medicine Faculty of Medical Sciences, University of Fukui Fukui Japan

Abstract

AbstractIntroductionIntracardiac echocardiography (ICE) reveals mobile thrombus on implantable electronic device leads in some patients undergoing electrophysiologic procedures.MethodsICE was performed in a patient undergoing ventricular tachycardia (VT) ablation.ResultsICE showed extensive mobile thrombi on the implantable cardioverter defibrillator lead. Radiofrequency catheter ablation of VT from perimitral scar was safely performed via a retrograde aortic approach. After the procedure, chronic anticoagulation was initiated. CT‐angiography of the chest 2 months later showed no pulmonary emboli.ConclusionsThe significance of these thrombi, as related to chronic pulmonary embolization, warrants further study.

Publisher

Wiley

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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