A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia
Yıl: 2021 Cilt: 49 Sayı: 2 Sayfa Aralığı: 162 - 166 Metin Dili: İngilizce DOI: 10.5543/tkda.2021.79696 İndeks Tarihi: 24-01-2022
A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia
Öz: Summary– Pacemakers are lifesaving devices that are being implanted with various indications, such as sinus node disease, atrioventricular block, and cardiac resynchronization therapy. Impedance measurement is one of the integral tests by which electrical resistance in pacing lead is tested. In this paper, we report an interesting observation of sudden impedance rise after ventricular tachycardia ablation with transmural lesions, which subsequently normalized without any need for intervention. The clinical implication of our findings is that careful observation might be indicated instead of lead replacement in case of a sudden surge in epicardial lead impedance after endocardial ablation owing that the impedance surge might be reversible
Anahtar Kelime: Ventriküler takikardi ablasyonu sonrasında ventriküler epikardiyal lead’in akut geridönüşümlü impedans artışı
Öz: Özet– Kalıcı kalp pilleri sinüs düğüm hastalığı, atriyoventriküler düğüm hastalığı ve kardiyak resenkronizasyon tedavisi gibi çeşitli endikasyonlarla implante edilmekteler. İmpedans ölçümü pil lead’lerin elektriksel rezistansını ölçen temel bir testir. Biz bu raporda transmural lezyonların oluşturulduğu bir ventriküler takikardi ablasyonu vakasında kendiğinden gerileyen akut impedans artışını sunuyoruz. Ventrikül lead’lerin insersiyo bölgesi yakınlarında yapılan transmural lezyon hedefleyen ablasyonlardan sonra akut impedans artışları görülebilir, ancak, geridönüşümlü olması sebebiyle herhangi müdahaleden önce klinik takip yapılması önerilebilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, et al. 2018 ACC/AHA/HRS Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines and the Heart Rhythm Society. J Am Coll Cardiol 2019;74:e51-156. [Crossref]
- 2. Mulpuru SK, Madhavan M, McLeod CJ, Cha Y-M, Friedman PA. Cardiac pacemakers: function, troubleshooting, and management. J Am Coll Cardiol 2017;69:189-210. [Crossref]
- 3. Mourad AR, Kim MH, Kirk MM. A case series of anomalous high pacing lead impedances in normally functioning leads. HeartRhythm Case Rep 2015;1:449-52. [Crossref]
- 4. Calvin JW. Intraoperative pacemaker electrical testing. Ann Thorac Surg 1978;26:165-76. [Crossref]
- 5. Swerdlow CD, Sachanandani H, Gunderson BD, Ousdigian KT, Hjelle M, Ellenbogen KA. Preventing overdiagnosis of implantable cardioverter-defibrillator lead fractures using device diagnostics. J Am Coll Cardiol 2011;57:2330-9. [Crossref]
- 6. Darrat Y, Morales G, Elayi C. The effects of catheter ablation on permanent pacemakers and implantable cardiac defibrillators. J Innov Card Rhythm Manag 2017;8:2630-5. [Crossref]
- 7. Chin MC, Rosenqvist M, Lee MA, Griffin JC, Langberg JJ. The effect of radiofrequency catheter ablation on permanent pacemakers: an experimental study. Pacing Clin Electrophysiol 1990;13:23-9. [Crossref]
- 8. Barkagan M, Leshem E, Shapira-Daniels A, Sroubek J, Buxton AE, Saffitz JE, et al. Histopathological characterization of radiofrequency ablation in ventricular scar tissue. JACC Clin Electrophysiol 2019;5:920-31. [Crossref]
- 9. Arujuna A, Karim R, Caulfield D, Knowles B, Rhode K, Schaeffter T, et al. Acute pulmonary vein isolation is achieved by a combination of reversible and irreversible atrial injury after catheter ablation: evidence from magnetic resonance imaging. Circ Arrhythm Electrophysiol 2012;5:691-700. [Crossref]
| APA | Baskovski E, Candemir B, Akbulut M, Esenboga K (2021). A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. , 162 - 166. 10.5543/tkda.2021.79696 |
| Chicago | Baskovski Emir,Candemir Basar,Akbulut Muge,Esenboga Kerim A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. (2021): 162 - 166. 10.5543/tkda.2021.79696 |
| MLA | Baskovski Emir,Candemir Basar,Akbulut Muge,Esenboga Kerim A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. , 2021, ss.162 - 166. 10.5543/tkda.2021.79696 |
| AMA | Baskovski E,Candemir B,Akbulut M,Esenboga K A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. . 2021; 162 - 166. 10.5543/tkda.2021.79696 |
| Vancouver | Baskovski E,Candemir B,Akbulut M,Esenboga K A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. . 2021; 162 - 166. 10.5543/tkda.2021.79696 |
| IEEE | Baskovski E,Candemir B,Akbulut M,Esenboga K "A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia." , ss.162 - 166, 2021. 10.5543/tkda.2021.79696 |
| ISNAD | Baskovski, Emir vd. "A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia". (2021), 162-166. https://doi.org/10.5543/tkda.2021.79696 |
| APA | Baskovski E, Candemir B, Akbulut M, Esenboga K (2021). A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. Türk Kardiyoloji Derneği Arşivi, 49(2), 162 - 166. 10.5543/tkda.2021.79696 |
| Chicago | Baskovski Emir,Candemir Basar,Akbulut Muge,Esenboga Kerim A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. Türk Kardiyoloji Derneği Arşivi 49, no.2 (2021): 162 - 166. 10.5543/tkda.2021.79696 |
| MLA | Baskovski Emir,Candemir Basar,Akbulut Muge,Esenboga Kerim A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. Türk Kardiyoloji Derneği Arşivi, vol.49, no.2, 2021, ss.162 - 166. 10.5543/tkda.2021.79696 |
| AMA | Baskovski E,Candemir B,Akbulut M,Esenboga K A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. Türk Kardiyoloji Derneği Arşivi. 2021; 49(2): 162 - 166. 10.5543/tkda.2021.79696 |
| Vancouver | Baskovski E,Candemir B,Akbulut M,Esenboga K A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia. Türk Kardiyoloji Derneği Arşivi. 2021; 49(2): 162 - 166. 10.5543/tkda.2021.79696 |
| IEEE | Baskovski E,Candemir B,Akbulut M,Esenboga K "A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia." Türk Kardiyoloji Derneği Arşivi, 49, ss.162 - 166, 2021. 10.5543/tkda.2021.79696 |
| ISNAD | Baskovski, Emir vd. "A case report of an acute reversible increase in pacing impedance of a ventricular epicardial lead after catheter ablation of ventricular tachycardia". Türk Kardiyoloji Derneği Arşivi 49/2 (2021), 162-166. https://doi.org/10.5543/tkda.2021.79696 |
