title: Extraction of chronic pacing lead and angioplasty for complete superior baffle obstruction in complex congenital heart disease.
abstract: Laser lead extraction in adult patients with congenital heart disease is safe and effective. Baffle angioplasty for obstruction in patients with a Mustard procedure is well established. We describe a unique combined interventional and electrophysiological approach on a patient with superior baffle obstruction. This technique utilized the channel created after extracting the chronic pacing lead to cross the obstruction and stent angioplasty of the superior baffle.
authors.affiliation: Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, United Kingdom.
authors.forename: Shankar N
authors.initials: SN
authors.lastname: Sadagopan
authors.forename: Gruschen R
authors.initials: GR
authors.lastname: Veldtman
authors.forename: Paul R
authors.initials: PR
authors.lastname: Roberts
mesh_terms: D017130:Angioplasty / Q000379:methods*; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013479:Superior Vena Cava Syndrome / Q000209:etiology* / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome