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

Transvenous lead extraction (TLE) is performed to prevent deaths in patients with device infections. Intracardiac masses detected by echocardiography, i.e., âghosts,â are reported in 8% of patients after a TLE in retrospective studies and in 14% in prospective studies. We herein describe a case with...

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Main Authors:	Kunihiko Kiuchi, MD, FHRS, Koji Fukuzawa, MD, Shumpei Mori, MD, Tatsuya Nishii, MD, Kensuke Matsumoto, MD, Hirotoshi Ichibori, MD, Takashi Yamada, MD
Format:	Article
Language:	English
Published:	Wiley 2017-12-01
Series:	Journal of Arrhythmia
Online Access:	http://www.sciencedirect.com/science/article/pii/S1880427617301345

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spelling	doaj-b4c4f94eff0848c49977db3c70f47d972020-11-24T21:06:09ZengWileyJournal of Arrhythmia1880-42762017-12-01336640642The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysisKunihiko Kiuchi, MD, FHRS0Koji Fukuzawa, MD1Shumpei Mori, MD2Tatsuya Nishii, MD3Kensuke Matsumoto, MD4Hirotoshi Ichibori, MD5Takashi Yamada, MD6Section of Arrhythmia, Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-chou chuou-ku, Kobe, Hyogo, Japan; Corresponding author. Fax: +81 78 382 5859.Section of Arrhythmia, Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-chou chuou-ku, Kobe, Hyogo, JapanDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-chou chuou-ku, Kobe, Hyogo, JapanDepartment of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-chou chuou-ku, Kobe, Hyogo, JapanDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-chou chuou-ku, Kobe, Hyogo, JapanDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-chou chuou-ku, Kobe, Hyogo, JapanTakaishiFujii Cardio-Vascular Hospital, 2-15-18 Ayazono, Takaishi, Osaka, JapanTransvenous lead extraction (TLE) is performed to prevent deaths in patients with device infections. Intracardiac masses detected by echocardiography, i.e., âghosts,â 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 âcast,â including the fibrous sheath and severe calcifications could be visualized and differentiated by 3DCT. Keywords: Transvenous lead extraction, Cardiac rhythm device, Device infection, Computed tomographyhttp://www.sciencedirect.com/science/article/pii/S1880427617301345
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Kunihiko Kiuchi, MD, FHRS Koji Fukuzawa, MD Shumpei Mori, MD Tatsuya Nishii, MD Kensuke Matsumoto, MD Hirotoshi Ichibori, MD Takashi Yamada, MD
spellingShingle	Kunihiko Kiuchi, MD, FHRS Koji Fukuzawa, MD Shumpei Mori, MD Tatsuya Nishii, MD Kensuke Matsumoto, MD Hirotoshi Ichibori, MD Takashi Yamada, MD The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis Journal of Arrhythmia
author_facet	Kunihiko Kiuchi, MD, FHRS Koji Fukuzawa, MD Shumpei Mori, MD Tatsuya Nishii, MD Kensuke Matsumoto, MD Hirotoshi Ichibori, MD Takashi Yamada, MD
author_sort	Kunihiko Kiuchi, MD, FHRS
title	The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis
title_short	The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis
title_full	The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis
title_fullStr	The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis
title_full_unstemmed	The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis
title_sort	details of an unusual âghostâ after transvenous lead extraction: three-dimensional computed tomography analysis
publisher	Wiley
series	Journal of Arrhythmia
issn	1880-4276
publishDate	2017-12-01
description	Transvenous lead extraction (TLE) is performed to prevent deaths in patients with device infections. Intracardiac masses detected by echocardiography, i.e., âghosts,â 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 âcast,â including the fibrous sheath and severe calcifications could be visualized and differentiated by 3DCT. Keywords: Transvenous lead extraction, Cardiac rhythm device, Device infection, Computed tomography
url	http://www.sciencedirect.com/science/article/pii/S1880427617301345
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The details of an unusual âghostâ after transvenous lead extraction: Three-dimensional computed tomography analysis

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