open access

Vol 20, No 1 (2013)
Case Reports
Published online: 2013-02-07
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Difficult dual-stage transcutaneous multiple lead extraction with loss of external silicone tube of broken lead

Andrzej Kutarski, Michał Chudzik, Andrzej Tomaszewski, Radosław Pietura, Andrzej Oszczygiel, Marek Czajkowski, Jerzy Krzysztof Wranicz
DOI: 10.5603/CJ.2013.0016
·
Cardiol J 2013;20(1):94-99.

open access

Vol 20, No 1 (2013)
Case Reports
Published online: 2013-02-07

Abstract

The extraction of three implanted (18-, 16-, and ten year-old) damaged nonfunctional leads was complicated by a lead breaking and losing its external silicone tube. The missing part of the lead was invisible on X-ray, but was visible in ECHO as a thin, corded, very mobile limp structure without metallic reflection. Incomplete lead extraction did not cease laboratory symptoms of infection. The lost silicone tube was grasped and removed via femoral approach during the subsequent transesophageal echocardiography (TEE)-guided procedure. The presented case indicates that the criterion of full radiological success is not always correct, exposes the utility of ECHO techniques for X-ray-invisible broken lead fragments, and indicates the possibility of success for such TEE-guided procedures.

Abstract

The extraction of three implanted (18-, 16-, and ten year-old) damaged nonfunctional leads was complicated by a lead breaking and losing its external silicone tube. The missing part of the lead was invisible on X-ray, but was visible in ECHO as a thin, corded, very mobile limp structure without metallic reflection. Incomplete lead extraction did not cease laboratory symptoms of infection. The lost silicone tube was grasped and removed via femoral approach during the subsequent transesophageal echocardiography (TEE)-guided procedure. The presented case indicates that the criterion of full radiological success is not always correct, exposes the utility of ECHO techniques for X-ray-invisible broken lead fragments, and indicates the possibility of success for such TEE-guided procedures.
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Keywords

lead extraction; loss of silicone tube; TEE during lead extraction

About this article
Title

Difficult dual-stage transcutaneous multiple lead extraction with loss of external silicone tube of broken lead

Journal

Cardiology Journal

Issue

Vol 20, No 1 (2013)

Pages

94-99

Published online

2013-02-07

DOI

10.5603/CJ.2013.0016

Bibliographic record

Cardiol J 2013;20(1):94-99.

Keywords

lead extraction
loss of silicone tube
TEE during lead extraction

Authors

Andrzej Kutarski
Michał Chudzik
Andrzej Tomaszewski
Radosław Pietura
Andrzej Oszczygiel
Marek Czajkowski
Jerzy Krzysztof Wranicz

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