Electrodo ¿intraarterial? Caso clínico

Transvenous lead extraction is a secure procedure usually indicated in patients with infection of the cardiac stimulation devices. However, there are certain particularities in which the use of cardiac stimulation lead extraction techniques may be also indicated. We present the case of a 88 years old female patient with history of repeated syncope, which after a recovered cardiorespiratory arrest episode, required an urgent pacemaker implantation. After the implantation of the pacemaker, she vas discharged, and consulted again a month after discharge due to neurological symptoms (bilateral vision loss). A cranial CT scan was performed showing ischemics acutes-subacutes areas, and it was also evaluated by cardiology for suspicion of a cardioembolic event, who after complementary studies (echocardiogram and chest CT angiography) showed the presence of the pacemaker lead trans-aortic, with its distal end in the left ventricle.