Figure
(Left column) A large chronic thrombus seen on transesophageal echocardiography (top, white arrows) and during surgical lead extraction (bottom, white arrow). Note how the mass appears white, rubbery, and has smooth borders, and was ultimately removed in one piece. (Right column) A large vegetation seen on intracardiac echocardiography (top, white arrows) prior to percutaneous lead extraction preceded by vegetation aspiration. Note how the mass has multiple lobules, is generally red, and was removed in multiple pieces (bottom). RV = right ventricle, RA = right atrium.
1. Byrd CL, Schwartz SJ, Hedin N. Lead extraction. Indications and techniques. Cardiol Clin. 1992;10(4):735-748.
2. Kusumoto FM, Schoenfeld MH, Wilkoff BL, et al. 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction. Heart Rhythm. 2017;14(12):e503-e551.
3. Sadek MM, Cooper JM, Frankel DS, et al. Utility of intracardiac echocardiography during transvenous lead extraction. Heart Rhythm. 2017;14(12):1779-1785.
4. Giacopelli.
5. Pothineni NVK, Tschabrunn CM, Carrillo R, Schaller RD. Endovascular occlusion balloon-related thrombosis during transvenous lead extraction.Europace. 2021;23(9):1472-1478.
6. Miyagi Y, Kawase Y, Kunugi S, et al. Histological properties of oscillating intracardiac masses associated with cardiac implantable electric devices. J Arrhythm. 2020;36(3):478-484.
7. Parikh JD, Kakarla J, Keavney B, et al. 4D flow MRI assessment of right atrial flow patterns in the normal heart - influence of caval vein arrangement and implications for the patent foramen ovale. PLoS One. 2017;12(3):e0173046.
8. Grammes JA, Schulze CM, Al-Bataineh M, et al. Percutaneous pacemaker and implantable cardioverter-defibrillator lead extraction in 100 patients with intracardiac vegetations defined by transesophageal echocardiogram. J Am Coll Cardiol. 2010;55(9):886-894.
9. Arora Y, Perez AA, Carrillo RG. Influence of vegetation shape on outcomes in transvenous lead extractions: Does shape matter? Heart Rhythm. 2020;17(4):646-653.
10. Maytin M, Jones SO, Epstein LM. Long-term mortality after transvenous lead extraction. Circ Arrhythm Electrophysiol.2012;5(2):252-257.
11. Narducci ML, Di Monaco A, Pelargonio G, et al. Presence of ’ghosts’ and mortality after transvenous lead extraction. Europace.2017;19(3):432-440.
12. Richardson TD, Lugo RM, Crossley GH, Ellis CR. Use of a clot aspiration system during transvenous lead extraction. J Cardiovasc Electrophysiol. 2020;31(3):718-722.
13. Godara H, Jia KQ, Augostini RS, et al. Feasibility of concomitant vacuum-assisted removal of lead-related vegetations and cardiac implantable electronic device extraction. J Cardiovasc Electrophysiol. 2018;29(10):1460-1466.