Opportunistic access: Successful retrograde guide wire advancement to the pocket through a track created by laser lead extraction.
Obtaining vascular access can be difficult following lead extraction if a wire is not retained within the vessel. We describe a unique situation in which retrograde passage of a guidewire to the explanted internal cardioverter/defibrillator pocket facilitated regaining subclavian venous access.
Spragg
David D
DD
Division of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland 21205, USA. chenriks@jhmi.edu
Brinker
Jeffrey A
JA
Henrikson
Charles A
CA
D000328:Adult; D017147:Defibrillators, Implantable; D020878:Device Removal / Q000379:methods*; D004554:Electric Countershock / Q000295:instrumentation* / Q000379:methods*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D007834:Lasers; D012092:Replantation / Q000379:methods*