The details of an unusual “ghost” after transvenous lead extraction: Three-dimensional computed tomography analysis

Publication date: Available online 6 September 2017 Source:Journal of Arrhythmia Author(s): Kunihiko Kiuchi, Koji Fukuzawa, Shumpei Mori, Tatsuya Nishii, Kensuke Matsumoto, Hirotoshi Ichibori, Takashi Yamada Transvenous lead extraction (TLE) is performed to prevent deaths in patients with device infections. Intracardiac masses detected by echocardiography, i.e., “ghosts,” are reported in 8% of patients after a TLE in retrospective studies and in 14% in prospective studies. We herein describe a case with unusual ghosts after a TLE. Three-dimensional computed tomography (3DCT) is useful for revealing all the details of unusual ghosts. In this case, the residual silicone insulation and “cast,” including the fibrous sheath and severe calcifications could be visualized and differentiated by 3DCT.

Source: Journal of Arrhythmia - September 30, 2017 Category: Cardiology Source Type: research