Kinked Lead

Kinked Lead
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Case contributed by Assoc Prof Craig Hacking ◉ ◈
Hacking, C. Pacemaker lead kinked. Case study, Radiopaedia.org. (accessed on 12 Sep 2022) https://doi.org/10.53347/rID-73339
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Pacemaker lead kinked

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One of the pacemaker leads is kinked at the confluence of the brachiocephalic veins. No lead fracture.
Multiple surgical clips in the left hemithorax. Tortuous thoracic aortic aneurysm (known).
Lead integrity can be assessed on CXR.

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The lead is covered w/ a braided metal sheath. To kink that you would have to make a loop in it & then pull it tight enough for it to take a permanent cusp in the lead . Not very probable. It would be like putting a kink in a garden hose. Strange things happen when you X-Ray those leads .
One of the pacemaker leads is kinked at the confluence of the brachiocephalic veins. No lead fracture. Multiple surgical clips in the left hemithorax. Tortuous thoracic aortic aneurysm (known). Case Discussion Lead integrity can be assessed on CXR. 1 public playlist includes this case Related Radiopaedia articles Promoted articles (advertising)
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Lead integrity can be assessed on CXR. ... From the case: Pacemaker lead kinked . X-ray. Frontal One of the pacemaker leads is kinked at the confluence of the brachiocephalic veins. No lead fracture. Multiple surgical clips in the left hemithorax. Tortuous thoracic aortic aneurysm (known).
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The most common reason for lead extraction is device infection usually spreading to the lead from an infection of the blood (bacteremia). Heart valves may also become infected (infective endocarditis). In both cases, your healthcare provider will remove the device and leads . Additional reasons for lead extraction include:
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