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Trans-innominate vein extraction of stuck pacemaker leads

  • Anish Gupta
  • Velayoudam Devagourou
  • Minati Choudhury
  • Gaind Saurabh
Case report

Abstract

There is continued increase in the rate of cardiac implantable devices and so are complications associated with them which may necessitate their extraction. The common indications for lead extraction are lead infection, lead malfunction, lead upgrade, or retained broken leads. Different methods are used; most common are percutaneous but sometimes cardiac surgical help may be required. We present one such unique case where leads were not approachable through pacemaker pocket and sternotomy was required and stuck leads were extracted via innominate vein, pulling from either end.

Keywords

Stuck pacemaker leads Trans-innominate vein extraction Cardiopulmonary bypass 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Not applicable

Informed consent

Obtained

References

  1. 1.
    Voigt A, Shalaby A, Saba S. Continued rise in rates of cardiovascular implantable electronic device infections in the United States: temporal trends and causative insights. Pacing Clin Electrophysiol. 2010;33:414–9.Google Scholar
  2. 2.
    Hauser RG, Katsiyiannis WT, Gornick CC, Almquist AK, Kallinen LM. Deaths and cardiovascular injuries due to device-assisted implantable cardioverter-defibrillator and pacemaker lead extraction. Europace. 2010;12:395–401.Google Scholar
  3. 3.
    Rizkallah J, Kent W, Kuriachan V, Burgess J, Exner D. Troubleshooting during a challenging high risk pacemaker lead extraction: a case report and review of literature. BMC Research Notes. 2015;8:94.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Koneru JN, Ellenbogen KA. High risk lead extraction using a hybrid approach: the blade and the lightsaber. J Cardiovasc Electrophysiol. 2014;25:622–3.CrossRefPubMedGoogle Scholar
  5. 5.
    Goyal SK, Ellis CR, Ball SK, et al. High-risk lead removal by planned sequential transvenous laser extraction and minimally invasive right thoracotomy. J Cardiovasc Electrophysiol. 2014;25:617–21.CrossRefPubMedGoogle Scholar

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Department of Cardiothoracic and Vascular SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of Cardiac AnaesthesiaAll India Institute of Medical SciencesNew DelhiIndia

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