Percutaneous transcatheter repositioning of displaced permanent pacemaker atrial lead with a simple system.
A 48-year-old man who was implanted with a DDD-R pacemaker because of sick sinus syndrome eight days ago presented to our institute with a syncopal attack. Fluoroscopy showed a dislodged active fixation atrial pacemaker lead. With a snare system simply improvised from a 0.014 inch guidewire and a NIH catheter, the lead was repositioned via percutaneous transfemoral approach. The procedure was easy and completed without any complication. Follow-up controls after two weeks and three months showed stability of the lead position with normal pacing and sensing functions.
Kursaklioglu
Hurkan
H
Gulhane Military Medical Academy, Department of Cardiology, Ankara, Turkey. shurkan@superonline.com
Barcin
Cem
C
Iyisoy
Atila
A
Kose
Sedat
S
Isik
Ersoy
E
D006328:Cardiac Catheterization / Q000295:instrumentation; D002304:Cardiac Pacing, Artificial; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000209:etiology / Q000503:physiopathology; D006325:Heart Atria / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology; D012804:Sick Sinus Syndrome / Q000503:physiopathology / Q000628:therapy