Strategies to reduce the risk of transvenous lead extraction: an example using a hybrid approach in a patient with a haemodialysis fistula.
Haemodialysis (HD) patients are at increased risk of vascular access complications with device therapy. We report a case of transvenous defibrillator lead extraction from the ipsilateral side as an HD fistula. The procedure was successfully performed using a hybrid approach, with extraction of the lead with a powered sheath, and surgical cut-down and closure of the subclavian vein defect.
Scott
Paul A
PA
Wessex Cardiothoracic Unit, Southampton University Hospital, Tremona Road, Southampton, Hampshire SO16 6YD, UK. paul.andrew.scott@btinternet.com
Roberts
Paul R
PR
Tsang
Geof M
GM
Morgan
John M
JM
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D017147:Defibrillators, Implantable; D020878:Device Removal / Q000379:methods*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy; D008297:Male; D006435:Renal Dialysis; D012307:Risk Factors; D040242:Risk Reduction Behavior; D013350:Subclavian Vein / Q000601:surgery; D016748:Venous Cutdown; D014693:Ventricular Fibrillation / Q000453:epidemiology / Q000628:therapy*