Vol 15, No 4 (2008)
Case Reports
Published online: 2008-05-21

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Percutaneous extraction of a coiled, 20-year-old lead in a patient with cardiac resynchronization therapy

Barbara Małecka, Andrzej Kutarski, Jacek Bednarek, Andrzej Ząbek, Jacek Lelakowski
Cardiol J 2008;15(4):371-375.

Abstract

A 61-year-old patient with a 20-year history of permanent pacemaker implantation and half- -a-year cardiac resynchronization therapy using a left ventricular lead placed via surgical approach was admitted for extraction of an old coiled right ventricular lead, which triggered ventricular arrhythmia and created a risk of pulmonary embolism. The lead was extracted via the left femoral vein in two stages: untying a loop on the lead using a pig-tail catheter and Dotter basket followed by traction and dissection of adhesions using a Byrd dilator sheath. Dissection of the old lead from the active right ventricular one posed special technical problems.

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