Vol 19, No 5 (2012)
Case Reports
Published online: 2012-10-06
Pacemaker lead extraction and recapture of venous access: Technical problems arising from extensive venous obstruction
DOI: 10.5603/CJ.2012.0093
Cardiol J 2012;19(5):513-517.
Abstract
We report the case of the extraction of 18 year-old leads in a patient with a DDD pacemaker,
and chronic obstruction of the left subclavian and innominate veins coexisting with extensive
stenoses in the upper caval vein. After removal of pacing leads, angiographic guidewires were
introduced via the Byrd dilatators and new pacing leads introduced with the use of long
sheaths originally dedicated for transvenous left ventricular leads implantation. With this
case, we discuss the problems arising during reimplantation of pacing leads in patients with
chronic venous occlusion. (Cardiol J 2012; 19, 5: 513-517)
Keywords: lead-related venous occlusionlead extractionrecapture of venous access