Cardioembolic stroke in patients with patent foramen ovale and implanted cardiac leads

Christopher V. Desimone, Daniel C. Desimone, Donald J. Hagler, Paul Andrew Friedman, Samuel J Asirvatham

Research output: Contribution to journalArticle

9 Scopus citations


Implanted cardiac devices, including pacemakers, defibrillators, and resynchronization devices, are known to develop thrombus on their intravascular leads. Patent foramen ovale (PFO) occurs in approximately one-quarter of the adult population. It is unclear whether paradoxical cardioembolism and clinically relevant stroke occur in patients with implanted cardiac leads and PFO. We present a case series of four patients with cardioembolic stroke, presumed to arise from intravascular cardiac leads and associated PFO that required device closure of the PFO.

Original languageEnglish (US)
Pages (from-to)50-54
Number of pages5
JournalPACE - Pacing and Clinical Electrophysiology
Issue number1
StatePublished - Jan 2013



  • cardioembolism
  • ICD
  • leads
  • pacemaker
  • paradoxical
  • patent foramen ovale
  • PFO
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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