open access

Vol 17, No 3 (2010)
Case Reports
Published online: 2010-05-28
Submitted: 2013-01-14
Get Citation

Percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery

Barbara Małecka, Andrzej Kutarski, Andrzej Ząbek, Andrzej Maziarz, Mariusz Pytkowski
Cardiol J 2010;17(3):293-298.

open access

Vol 17, No 3 (2010)
Case Reports
Published online: 2010-05-28
Submitted: 2013-01-14

Abstract

We describe a case of percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery. The procedure was performed from two accesses; from the lower one (femoral) and then, due to technical problems, from the upper one (subclavian). In the last stage the flattened Dotter’s basket was introduced to the heart inside the Byrd dilator and then fastened to the described lead as the external ‘splint’. This solution is an alternative to the recommended use of the internal metal leader with anchoring function in case of significant malformation of the internal lumen of the lead. The procedure we describe is an example of the sort of individual, original solution indispensable for the efficient and safe removal of untypically displaced leads.
(Cardiol J 2010; 17, 3: 293-298)

Abstract

We describe a case of percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery. The procedure was performed from two accesses; from the lower one (femoral) and then, due to technical problems, from the upper one (subclavian). In the last stage the flattened Dotter’s basket was introduced to the heart inside the Byrd dilator and then fastened to the described lead as the external ‘splint’. This solution is an alternative to the recommended use of the internal metal leader with anchoring function in case of significant malformation of the internal lumen of the lead. The procedure we describe is an example of the sort of individual, original solution indispensable for the efficient and safe removal of untypically displaced leads.
(Cardiol J 2010; 17, 3: 293-298)
Get Citation

Keywords

permanent stimulation; lead displacement; lead removal

About this article
Title

Percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery

Journal

Cardiology Journal

Issue

Vol 17, No 3 (2010)

Pages

293-298

Published online

2010-05-28

Bibliographic record

Cardiol J 2010;17(3):293-298.

Keywords

permanent stimulation
lead displacement
lead removal

Authors

Barbara Małecka
Andrzej Kutarski
Andrzej Ząbek
Andrzej Maziarz
Mariusz Pytkowski

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