Lead Extraction Via the Femoral Artery of a Left Ventricular Pacing Lead Inserted in the Subclavian Artery

Bracke, Frank; Gelder, Berry van; Cuypers, Philippe W.M.; Meijer, Albert

doi:10.1046/j.1460-9592.2003.t01-1-00225.x

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…Retaining the device is associated with a high risk of relapsing or persistent infection. 23,31,36 The mortality rate in our case series was 14%. This relatively low mortality rate is likely secondary to complete and early device removal and use of percutaneous extraction techniques instead of thoracotomy in most cases.…”

Section: Discussionmentioning

confidence: 54%

Infective Endocarditis Complicating Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infection

Sohail

Uslan

Khan

et al. 2008

Mayo Clinic Proceedings

250

174

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Section: Discussionmentioning

confidence: 54%

Infective Endocarditis Complicating Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infection

Sohail

Uslan

Khan

et al. 2008

Mayo Clinic Proceedings

250

174

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“…Bracke et al., published a case of a left ventricular lead extraction via the femoral artery to avoid cerebral embolization 16 …”

Section: Discussionmentioning

confidence: 99%

Lead extraction of an unintentional pacemaker lead implantation in the left ventricle from the left subclavian artery

Strubé

Domain

Dognin

et al. 2021

Pacing Clinical Electrophis

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Introduction: Inadvertent implantation from the subclavian/axillary arteries is uncommon and has been rarely reported. Complications are frequent, mainly driven by thromboembolic events. Lead extraction, depending on the dwell time may be challenging and associated with thromboembolic events Case Report: We report the case of an 87‐year‐old man who had involuntarily pacemaker lead implanted into the left ventricle through the left subclavian artery. An extraction procedure was performed with surgical dissection to the artery and simple traction of the probe without complication. Conclusion: Percutaneous lead extraction using surgical dissection is a therapeutic option for less than one year old left ventricle inadvertent lead implantation.

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“…Removal of chronic pacing leads percutaneously via the femoral artery [ 5 ] or via the subclavian artery has been described previously and, although there have been no reports of thromboembolic complications, the methods for removal vary and the number of reported cases is limited. Transesophageal echocardiography has been universally performed, and heparin is instituted in patients with left ventricular lead implants to minimize the risk of thrombus formation.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent Transarterial Lead Placement in the Left Ventricle and Aortic Cusp: Percutaneous Lead Removal with Carotid Embolic Protection and Stent Graft Placement

Kosmidou

Karmpaliotis

Kandzari

et al. 2012

Indian Pacing and Electrophysiology Journal

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Background/PurposeTransarterial lead implantation in the left ventricle or aorta is a rare complication. Percutaneous lead removal is associated with significant thromboembolic and bleeding risk. We present two cases of lead removal from the left ventricle via the left subclavian artery with concurrent carotid embolic protection followed by stent graft placement in the subclavian artery.Methods/ResultsPatient 1 underwent prior pacemaker implant with atrial and ventricular active fixation leads positioned in the right coronary cusp and the left ventricle, respectively. Patient 2 had prior ICD implant with a single active fixation lead positioned in the left ventricular apex. Lead removal was performed in a hybrid operating room. Distal embolic filter wires were deployed in the carotid arteries following anticoagulation. Intravascular ultrasound of the left subclavian artery was performed and as the leads were withdrawn, a covered stent was deployed at the removal site. Final angiography demonstrated no evidence of embolic phenomena. Both patients underwent transvenous lead implantation followed by an uneventful postoperative clinical course.ConclusionsTransarterial percutaneous lead removal may be safely performed using embolic filter protection of the cerebral circulation and stent graft placement of the arterial entry site.

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Lead Extraction Via the Femoral Artery of a Left Ventricular Pacing Lead Inserted in the Subclavian Artery

Cited by 9 publications

References 10 publications

Infective Endocarditis Complicating Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infection

Infective Endocarditis Complicating Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infection

Lead extraction of an unintentional pacemaker lead implantation in the left ventricle from the left subclavian artery

Inadvertent Transarterial Lead Placement in the Left Ventricle and Aortic Cusp: Percutaneous Lead Removal with Carotid Embolic Protection and Stent Graft Placement

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