Summary
A lead fracture of the pacemaker system occurred due to physical exertion. The torn electrode embolised into the pulmonary artery. The electrode was mobilised and extracted using a guide wire and a lasso catheter. No thoracotomy was needed with this technique.
Zusammenfassung
Bei dem Patienten trat nach körperlicher Anstrengung ein Elektrodenbruch des implantierten Schrittmachersystems auf. Die Elektrode war mit dem frei flottierenden Ende in die Pulmonalarterie embolisiert. Mithilfe eines Lasso-Katheters konnte die Elektrode mobilisiert und extrahiert werden. Dadurch konnte eine offene Revision unter Thorakotomie vermieden werden.
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Müller, D., Schwimmbeck, P.L., Schultheiss, HP. et al. Extraktion einer frakturierten Schrittmacherelektrode aus der Pulmonalarterie. Intensivmed 43, 580–583 (2006). https://doi.org/10.1007/s00390-006-0679-0
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DOI: https://doi.org/10.1007/s00390-006-0679-0