Excimer Laser‐Assisted Extraction of an Infected Bipolar Left Ventricular Pacing Lead Implanted 10 Years Ago

Nägele, Herbert; Schneider, Jakob; Knobelsdorff, G. von; Petersen, B.; Rödiger, W

doi:10.1046/j.1460-9592.2001.00388.x

Cited by 9 publications

(5 citation statements)

References 8 publications

(8 reference statements)

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“…Successful lead extraction is described within an early time span when performed; single case histories for longer time spans report on lead extraction using varying tools. 5 6 The images presented in this case study demonstrate the first described successful use of rotating dilator sheaths for extraction of such a misplaced lead via the septal defect after such a long time interval of 12 years. Three-dimensional (3D) echocardiographic imaging provided valuable information for planning and implementation of the percutaneous procedure ( Video 2 ).…”

Section: Discussionmentioning

confidence: 71%

“…1 2 3 4 Lead extraction is described in an early time period, late extraction not recommended due to thromboembolic risk. Laser extraction has been described but should not be the first option to choose, 5 6 the authors have opted for rotational dilating sheaths for extraction in the attempt to avoid a reoperative surgical procedure for the lead induced mitral valve regurgitation.…”

Section: Introductionmentioning

confidence: 99%

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Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Easo

Book

Hakmi³

et al. 2019

THORAC CARDIOV SURG Reports

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Background Necessity for lead removal in this case was after 12 years due to mitral valve regurgitation caused by retraction of the posterior leaflet by the inadvertently misplaced lead. Case Description This history describes a 45-year-old woman with history of multiple cardiac operations at young age with an abandoned defibrillator lead via a patent atrial septal defect. Lead extraction was performed with first described use of rotational dilating sheaths to reduce emboli risk, hoping to avoid a fourth surgical procedure with high risk. Conclusions Percutaneous lead removal using rotational sheaths is possible even for misplaced leads after long-time intervals with acceptable operative risk.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Easo

Book

Hakmi³

et al. 2019

THORAC CARDIOV SURG Reports

View full text Add to dashboard Cite

show abstract

“…Major complications from device extraction is approximately 1.4%. 15 Complications rates are higher with longer implant durations and use of laser extraction technique. 15 In 2011, Rodriquez et al described favorable outcomes from both open surgical and percutaneous extraction techniques.…”

Section: Discussionmentioning

confidence: 99%

“…15 Complications rates are higher with longer implant durations and use of laser extraction technique. 15 In 2011, Rodriquez et al described favorable outcomes from both open surgical and percutaneous extraction techniques. 2 The case series published by this group suggested that simple manual traction can be attempted in patients with implantation of less than six months.…”

Section: Discussionmentioning

confidence: 99%

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Removal of Misplaced Left Ventricular Single Lead Pacemaker in a Patient Presenting with Recurrent Transient Ischemic Attacks

Hinojos

Ilg

2017

Spartan Medical Research Journal

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Over 200,000 cardiac electronic implantable devices are annually placed in individuals living within the United States. Complications from this procedure can range up to 12%. Inadvertent lead placement into the left ventricle is a rare but recognized complication of implantable cardiac electronic devices. This is a retrospective case report of a female patient in her late 70's who underwent atrioventricular node ablation and misplacement of single lead pacemaker, subsequently presenting with recurrent transient ischemic attacks one month later. Initial electrocardiogram and chest X-ray demonstrated misplacement of her pacemaker in the left ventricle. Medical therapy was attempted, however, patient subsequently underwent extraction via aortotomy with implantation of epicardial pacemaker. Inadvertent placement of implantable electronic cardiac devices is a rare but well recognized complication. A post-procedure electrocardiogram and chest X-ray should be routinely performed to confirm appropriate lead placement. Procedures to manage this complication are evolving with novel device therapies specifically designed for percutaneous lead extraction.

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Percutaneous extraction of inadvertently placed left‐sided pacemaker leads with complete cerebral embolic protection

Bahadorani

Schricker

Pretorius

et al. 2015

Cathet Cardio Intervent

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Lead wire malposition is a known, but rare complication of permanent pacemaker or defibrillator implantation. The actual incidence and prevalence is unknown and management options for inadvertent left ventricular lead malposition have not been uniform. Current recommendations include systemic anticoagulation with warfarin or surgical lead removal with circulatory arrest for compelling clinical scenarios. Percutaneous left-sided lead extraction is contraindicated due to the potentially increased risk of thromboembolic complications associated with this procedure. To our knowledge, this is the first report of percutaneous extraction of inadvertently placed left ventricular and left atrial endocardial pacemaker leads with flow-preserving complete cerebral embolic protection. We also review the current literature regarding the incidence, management, and percutaneous extraction of left-sided cardiac leads.

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Excimer Laser‐Assisted Extraction of an Infected Bipolar Left Ventricular Pacing Lead Implanted 10 Years Ago

Cited by 9 publications

References 8 publications

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Removal of Misplaced Left Ventricular Single Lead Pacemaker in a Patient Presenting with Recurrent Transient Ischemic Attacks

Percutaneous extraction of inadvertently placed left‐sided pacemaker leads with complete cerebral embolic protection

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