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- W2003379274 abstract "Introduction: Case reports describe implanted screw-in pacemaker leads damaging coronary arteries. Our aim was to investigate the proximity of right atrial (RA) and right ventricular (RV) pacemaker and implantable cardioverter-defibrillator (ICD) leads to the major coronary anatomy using cardiac computer tomography (CT). Methods: CT Images from patients undergoing clinically indicated were retrospectively analysed to assess the spatial relationship of lead tips to the major coronary anatomy. Results: Fifty RV leads and 35 RA leads were assessed. Leads in the short axis RV antero-septal junction (20 of 52) were in close proximity (median 4.7 mm) to the overlying left anterior descending (LAD) coronary artery. RA leads in the anterior (26 of 35) and lateral (7 of 35) walls of the RA appendage were spatially distant (16.9 ± 7.7 mm and 18.9 ± 12.4 mm, respectively) and directed away from the right coronary artery. However, there were particular lead locations where lead tips were directed towards and were in close proximity to the major coronary anatomy A RA lead adjacent to superior border of the tricuspid valve was 4.3 mm from the right coronary artery and a RA lead on the medial wall of the RA appendage was 1.6 mm away from the aorta. A RV pacemaker lead in the lateral wall of the RV adjacent to the tricuspid valve was 3.4 mm away from the right coronary artery. Conclusions: At particular pacing sites, leads are in close proximity and pose a potential threat to the aorta, LAD and right coronary artery." @default.
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- W2003379274 date "2013-01-01" @default.
- W2003379274 modified "2023-09-27" @default.
- W2003379274 title "The Proximity of Implanted Pacemaker and Implantable Cardioverter-Defibrillator Leads to Coronary Arteries as Assessed by Cardiac Computer Tomography" @default.
- W2003379274 doi "https://doi.org/10.1016/j.hlc.2013.05.477" @default.
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