An unusual complication of XXXX ablation: case report.

@entity1 @entity1158 @entity932 @entity1410 @entity955
The authors report a complication of catheter ablation that, to their knowledge, has never been previously reported. A 63-year-old @entity1 had undergone successful transvenous catheter thermoablation for @entity955 . The @entity1 remained well until 3 days prior to further admission when he noticed itching in the right frontal area of his scalp. On palpating his scalp, he discovered a metallic body projecting out of it and he proceeded to extract 20 cm of wire from his head. The following day a progressive left @entity1158 developed, and the @entity1 experienced a deteriorating level of consciousness. A CT scan of the brain showed a right frontotemporal intraparenchymal hemorrhage and revealed a metallic structure in the middle of the @entity1410 . The @entity1410 was evacuated and a decompressive craniotomy was performed. The guidewire was identified, but it was only possible to extract part of it. It was covered by fibrous tissue, secondary to inflammatory reaction. To the authors' knowledge, this is the first report of guidewire-induced @entity932 . The guidewire apparently had not been removed and had spontaneously migrated from the heart to the brain and beyond to the scalp where it then exited the @entity1 's head. The @entity1 had been well before he attempted to pull out the wire. Earlier identification of the iatrogenic complication of a retained guidewire might have prevented the fatal outcome in this case.
