A modified transvenous single mechanical dilatation technique to remove a chronically implanted active-fixation coronary sinus pacing lead.
We described a 77-year-old patient, previously implanted with a dual-chamber pacemaker later upgraded to a cardiac resynchronization therapy-defibrillator (CRT-D) device with an active-fixation coronary sinus pacing lead, who underwent a transvenous mechanical extraction procedure for a device-related systemic infection. All leads were removed successfully with a transvenous approach. With regard to the coronary sinus (CS) lead (Attain 4195 StarFix, Medtronic Inc., Minneapolis, MN, USA), manual traction was ineffective and extraction required long and challenging mechanical dilatation up to distal CS using either conventional sheaths or modified CS lead delivery.
Bongiorni
Maria Grazia
MG
Hospital University of Pisa, Department of Cardiovascular Diseases 2, Pisa, Italy.
Di Cori
Andrea
A
Zucchelli
Giulio
G
Segreti
Luca
L
De Lucia
Raffaele
R
Paperini
Luca
L
Soldati
Ezio
E
D000368:Aged; D058409:Cardiac Resynchronization Therapy Devices; D054326:Coronary Sinus; D020878:Device Removal / Q000379:methods*; D004106:Dilatation; D006801:Humans; D008297:Male