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

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

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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
Volume36
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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