TY - JOUR PY - 2007// TI - Pacemaker ventricular lead microdislodgement following a motor vehicle accident JO - European journal of emergency medicine A1 - Catanzaro, John N. A1 - Makaryus, Amgad N. A1 - Jadonath, Sunil A1 - Jadonath, Ram SP - 224 EP - 227 VL - 14 IS - 4 N2 - Pacemaker lead dislodgement can be defined as any lead position change, whether the functionality of the pacemaker is affected or not. Only dislodgements that provoke a malfunction in the pacing system, however, are clinically relevant. Lead dislodgement can be categorized as 'macro' or 'micro' dislodgement depending upon the presence of radiographic evidence. This case illustrates a case of lead microdislodgement after a low-impact motor vehicle accident. The lead tip was minimally displaced; enough to produce an increase in capture threshold and eventually loss of capture while keeping near normal lead impedance values. Review of the literature shows that ventricular lead dislodgement after a motor vehicle accident is a rare incidence and cause of pacemaker malfunction.

Language: en

LA - en SN - 0969-9546 UR - http://dx.doi.org/10.1097/MEJ.0b013e3280bef79a ID - ref1 ER -