Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Dislocation of pacemaker electrodes as a result of a road traffic accident

Authors: Buziashvili Yu.I., Asymbekova E.U., Tugeeva E.F., Sopov O.V., Rychina I.E., Borbodoeva B.M., Akildzhonov F.R.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2025-22-2-193-198

UDC: 616.12-089.843-77:615.841-089

Link: Clinical Physiology of Blood Circulaiton. 2025; 22 (2): 193-198

Quote as: Buziashvili Yu.I., Asymbekova E.U., Tugeeva E.F., Sopov O.V., Rychina I.E., Borbodoeva B.M., Akildzhonov F.R. Dislocation of pacemaker electrodes as a result of a road traffic accident. Clinical Physiology of Circulation. 2025; 22(2): 193–198 (in Russ.). DOI: 10.24022/1814-6910-2025-22-2-193-198

Received / Accepted:  10.06.2025 / 25.06.2025

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Abstract

Lead dislocation is defined as any change in the initial position of the lead after implantation, regardless of the presence of clinical or electrophysiological consequences. However, only those cases that lead to dysfunction of the pacing system are considered clinically significant. Early dislocations are observed much more often than late ones, and they predominantly affect the atrial leads. In biventricular pacing, the frequency of dislocations is higher, which is due, in particular, to the instability of the lead position in the coronary sinus. Early dislocations are the most common reason for lead reimplantation, while late dislocations, occurring after a six-week period, are much less common. In our clinical case, we describe a rare variant of pacemaker lead dislocation against the background of a road traffic accident with subsequent successful reimplantation.

About Authors

  • Yuriy I. Buziashvili, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Head of the Clinical Diagnostic Department; ORCID
  • Elmira U. Asymbekova, Dr. Med. Sci., Leading Researcher; ORCID
  • Elvina F. Tugeeva, Dr. Med. Sci., Leading Researcher; ORCID
  • Oleg V. Sopov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
  • Inna E. Rychina, Cand. Med. Sci., Senior Researcher, Head of the X-ray Department No. 1, Center for Radiation Diagnostics; ORCID
  • Baktygul M. Borbodoeva, Cand. Med. Sci., Cardiologist; ORCID
  • Firdavsdzhon R. Akildzhonov, Cand. Med. Sci., Junior Researcher; ORCID

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