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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Paradoxical thromboembolic stroke during extraction of a recalled St Jude Medical Riata defibrillator lead with conductor externalization.
    Author: Larsen JM, Theuns DA, Thøgersen AM.
    Journal: Europace; 2014 Feb; 16(2):240. PubMed ID: 23933851.
    Abstract:
    Recalled St Jude Medical Riata leads have a high rate of insulation failures with potential thrombogenic externalized conductors. We report a paradoxical thromboembolic stroke through a persistent foramen ovale during extraction of a lead with externalization. We suggest mandatory transesophageal echocardiography prior to extraction to screen for lead-related thrombosis and routes of right-to-left shunting to reduce risk of thromboembolic complications.
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