Closure of the subclavian artery puncture site with a percutaneous suture device after removal of an arterial pacemaker lead.
We describe the closure of a subclavian artery puncture site with a percutaneous suture device after removal of a pacemaker lead 1 week after its inadvertent positioning in the left ventricle via the subclavian artery. The lead was retracted from the left ventricle into the aorta and linked to a guiding catheter introduced via femoral artery access. The lead and the guiding catheter were removed from the artery to the subclavian area. This manoeuvre allowed the placement of a percutaneous arterial suture device (Perclose) to close the puncture site.
Meyhoefer
Juergen
J
Department of Cardiology, Heart Center Brandenburg in Bernau, Ladeburger Strasse 17, 16321 Bernau, Germany. j.meyhoefer@immanuel.de
Lehmann
Heiko
H
Minden
Hans-Heinrich
HH
Butter
Christian
C
D000368:Aged; D000792:Angiography; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods; D005263:Femoral Artery; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011677:Punctures; D013348:Subclavian Artery / Q000293:injuries*; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation; D013537:Sutures / Q000009:adverse effects