Management of central venous gradient using excimer laser lead extraction of chronic indwelling pacemaker leads in the setting of ipsilateral arteriovenous fistula.
Device therapy is becoming common in those patients with renal insufficiency. Coexisting need for arteriovenous (AV) fistula placement is often contemplated relative to device placement. We describe the excimer laser lead extraction of a malfunctioning chronic atrial pacemaker lead ipsilateral to an AV fistula.
Brooke Army Medical Center, San Antonio, TX 78234, USA.
Alexies
A
Ramirez
Philip J
PJ
Gentlesk
Mark E
ME
Peele
Robert E
RE
Eckart
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D002304:Cardiac Pacing, Artificial; D002496:Central Venous Pressure; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods; D022062:Electrophysiologic Techniques, Cardiac; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D053685:Laser Therapy / Q000295:instrumentation*; D054018:Lasers, Excimer; D010138:Pacemaker, Artificial; D006435:Renal Dialysis; D012804:Sick Sinus Syndrome / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome