open access

Vol 19, No 2 (2012)
Case Reports
Published online: 2012-03-30
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Extraction of abandoned, potentially dangerous lead with uncovered proximal ending: A case report and method description

Andrzej Kutarski, Michał Chudzik, Andrzej Oszczygieł, Jerzy Krzysztof Wranicz
Cardiol J 2012;19(2):192-196.

open access

Vol 19, No 2 (2012)
Case Reports
Published online: 2012-03-30

Abstract

In this study, we present the case of the extraction of a non-functioning, abandoned, chronically implanted nine year-old lead with proximal extended frayed ending, displaced spontaneously into the subclavian vein. The seemingly inaccessible lead was extracted from the body using the femoral approach. The lead was looped with a pig-tail catheter, standard guide-wire, and basket Dotter catheter, and the proximal ingrown ending was liberated. Finally, it was grasped with a basket catheter and its tip was liberated using oblique cut rotated internal sheath of a Femoral Working Station: using it as a Byrd dilator designed for subclavian approach. An additional difficulty was the risk of dislodging the correct endocardial lead in the pacemaker-dependent patient. The procedure indicates the necessity for the production of longer Byrd dilators designed for the femoral approach. (Cardiol J 2012; 19, 2: 192–196)

Abstract

In this study, we present the case of the extraction of a non-functioning, abandoned, chronically implanted nine year-old lead with proximal extended frayed ending, displaced spontaneously into the subclavian vein. The seemingly inaccessible lead was extracted from the body using the femoral approach. The lead was looped with a pig-tail catheter, standard guide-wire, and basket Dotter catheter, and the proximal ingrown ending was liberated. Finally, it was grasped with a basket catheter and its tip was liberated using oblique cut rotated internal sheath of a Femoral Working Station: using it as a Byrd dilator designed for subclavian approach. An additional difficulty was the risk of dislodging the correct endocardial lead in the pacemaker-dependent patient. The procedure indicates the necessity for the production of longer Byrd dilators designed for the femoral approach. (Cardiol J 2012; 19, 2: 192–196)
Get Citation

Keywords

abandoned lead extraction; femoral approach for lead extraction

About this article
Title

Extraction of abandoned, potentially dangerous lead with uncovered proximal ending: A case report and method description

Journal

Cardiology Journal

Issue

Vol 19, No 2 (2012)

Pages

192-196

Published online

2012-03-30

Bibliographic record

Cardiol J 2012;19(2):192-196.

Keywords

abandoned lead extraction
femoral approach for lead extraction

Authors

Andrzej Kutarski
Michał Chudzik
Andrzej Oszczygieł
Jerzy Krzysztof Wranicz

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