Vol 17, No 3 (2010)
Case Reports
Published online: 2010-05-28
Percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery
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)
(Cardiol J 2010; 17, 3: 293-298)
Keywords: permanent stimulationlead displacementlead removal