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Beware of the coronary arteries with implantable cardiac electronic devices

Vorsicht vor Koronararterien bei implantierbaren kardialen Geräten

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Abstract

The transvenous implantation of cardiac devices may sometimes cause serious complications involving the coronary arteries. The left anterior descending artery may be injured during nonapical right ventricular implantation while a right atrial lead may injure the right or circumflex coronary artery. Injury of a left internal mammary graft to a coronary artery may cause myocardial infarction.

Zusammenfassung

Die transvenöse Implantation kardialer Geräte kann manchmal zu schweren Komplikationen führen, welche die Koronararterien betreffen. Zum einen kann der Ramus interventricularis anterior bei nichtapikaler Implantation der rechtsventrikulären Elektrode, zum anderen die rechte Koronararterie und der Ramus circumflexus bei Implantation der rechtsatrialen Elektrode verletzt werden. Verletzungen eines Bypass zwischen A. mammaria interna und einer Koronararterie können zu einem Myokardinfarkt führen.

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Authors and Affiliations

  1. Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA

    S. Serge Barold MD

  2. Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia

    Benjamin J Pang & Harry G Mond

Authors
  1. S. Serge Barold MD
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  2. Benjamin J Pang
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  3. Harry G Mond
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Corresponding author

Correspondence to S. Serge Barold MD.

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Conflict of interest

S. S. Barold, B.J. Pang, and H.G. Mond declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Barold, S.S., Pang, B.J. & Mond, H.G. Beware of the coronary arteries with implantable cardiac electronic devices. Herzschr Elektrophys 28, 317–319 (2017). https://doi.org/10.1007/s00399-017-0518-y

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  • DOI: https://doi.org/10.1007/s00399-017-0518-y

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