Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus

An 82-year-old man with a permanent pacemaker (PM) implanted for sick sinus syndrome complained of palpitation due to paroxysmal atrial fibrillation and flutter. During extensive pulmonary vein isolation, the atrial lead was dislodged to the level of the tricuspid annulus. Radiofrequency energy deli...

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Autores principales: Omori, Taku, Fujii, Eitaro, Kagawa, Yoshihiko, Fujita, Satoshi, Kitamura, Tetsuya, Ito, Masaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919853/
https://www.ncbi.nlm.nih.gov/pubmed/29269673
http://dx.doi.org/10.2169/internalmedicine.9688-17
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author Omori, Taku
Fujii, Eitaro
Kagawa, Yoshihiko
Fujita, Satoshi
Kitamura, Tetsuya
Ito, Masaaki
author_facet Omori, Taku
Fujii, Eitaro
Kagawa, Yoshihiko
Fujita, Satoshi
Kitamura, Tetsuya
Ito, Masaaki
author_sort Omori, Taku
collection PubMed
description An 82-year-old man with a permanent pacemaker (PM) implanted for sick sinus syndrome complained of palpitation due to paroxysmal atrial fibrillation and flutter. During extensive pulmonary vein isolation, the atrial lead was dislodged to the level of the tricuspid annulus. Radiofrequency energy delivery to the cavotricuspid isthmus reproducibly caused twitching of the PM pocket. The atrial lead was repositioned to the right atrial appendage, PM check revealed no functional change in the PM or lead performance. This is the first reported case of twitching of the PM pocket due to electromagnetic interference.
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spelling pubmed-59198532018-04-27 Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus Omori, Taku Fujii, Eitaro Kagawa, Yoshihiko Fujita, Satoshi Kitamura, Tetsuya Ito, Masaaki Intern Med Case Report An 82-year-old man with a permanent pacemaker (PM) implanted for sick sinus syndrome complained of palpitation due to paroxysmal atrial fibrillation and flutter. During extensive pulmonary vein isolation, the atrial lead was dislodged to the level of the tricuspid annulus. Radiofrequency energy delivery to the cavotricuspid isthmus reproducibly caused twitching of the PM pocket. The atrial lead was repositioned to the right atrial appendage, PM check revealed no functional change in the PM or lead performance. This is the first reported case of twitching of the PM pocket due to electromagnetic interference. The Japanese Society of Internal Medicine 2017-12-21 2018-04-01 /pmc/articles/PMC5919853/ /pubmed/29269673 http://dx.doi.org/10.2169/internalmedicine.9688-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Omori, Taku
Fujii, Eitaro
Kagawa, Yoshihiko
Fujita, Satoshi
Kitamura, Tetsuya
Ito, Masaaki
Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus
title Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus
title_full Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus
title_fullStr Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus
title_full_unstemmed Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus
title_short Twitching of the Pacemaker Pocket Induced by Radiofrequency Energy Delivery to the Cavotricuspid Isthmus
title_sort twitching of the pacemaker pocket induced by radiofrequency energy delivery to the cavotricuspid isthmus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919853/
https://www.ncbi.nlm.nih.gov/pubmed/29269673
http://dx.doi.org/10.2169/internalmedicine.9688-17
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