Percutaneous extraction of a coiled, 20-year-old lead in a patient with cardiac resynchronization therapy.
A 61-year-old patient with a 20-year history of permanent pacemaker implantation and half--a-year cardiac resynchronization therapy using a left ventricular lead placed via surgical approach was admitted for extraction of an old coiled right ventricular lead, which triggered ventricular arrhythmia and created a risk of pulmonary embolism. The lead was extracted via the left femoral vein in two stages: untying a loop on the lead using a pig-tail catheter and Dotter basket followed by traction and dissection of adhesions using a Byrd dilator sheath. Dissection of the old lead from the active right ventricular one posed special technical problems.
Małecka
Barbara
B
Departament of Electrocardiology, Cardiology Institute CMUJ, John Paul II Hospital, Kraków, Poland. barbara_malecka@go2.pl
Kutarski
Andrzej
A
Bednarek
Jacek
J
Zabek
Andrzej
A
Lelakowski
Jacek
J
D006328:Cardiac Catheterization / Q000379:methods; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted; D004868:Equipment Failure; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011859:Radiography; D018570:Risk Assessment; D012804:Sick Sinus Syndrome / Q000175:diagnosis / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome