Jugular pacing lead extraction with laser sheath: a case report.
Over the past 20 years, the number of patients with pacemakers (PM) or implantable cardioverter defibrillators has risen markedly; consequently, an increasing number of lead-removal procedures have become necessary. A 64-year-old woman presenting with an infected device pocket and positive bacterial cultures (Staphylococcus aureus) was admitted to our department for lead removal; in 1991, she underwent VVI PM implantation for atrioventricular II degree Mobitz 1 block, and a unipolar lead was introduced via the left jugular vein. The procedure was performed in our Electrophysiology Lab with a cardiac surgeon on standby, using an excimer laser system emitting the energy at the tip of a flexible, fibre-optic 12 F sheath, developed by Spectranetics, Inc., Colorado Springs, CO, USA.
Curnis
Antonio
A
Laboratorio di Elettrofisiologia ed Elettrostimolazione, Divisione e Cattedra di Cardiologia, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy.
Coppola
Giuseppe
G
Racheli
Marco
M
Cerini
Manuel
M
Pagnoni
Carlo
C
Lipari
Alessandro
A
Berlinghieri
Nicola
N
Metwally
Mohamed A
MA
Bontempi
Luca
L
Dei Cas
Livio
L
D002304:Cardiac Pacing, Artificial / Q000009:adverse effects; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007601:Jugular Veins; D007834:Lasers; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects* / Q000382:microbiology; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery