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Extraction of a fractured pacemaker lead in the left bundle branch area using a snare via a femoral approach

Abstract

We present the first reported case of extraction of a ventricular lead placed in the left bundle branch area with a double-loop design snare via the femoral approach without any complication. It was a 4-month-old lead whose extraction was not possible only with a conventional stylet via an implant vein approach, so we want to show that complete procedural success is possible.

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References

  1. Ponnusamy SS, Vijayaraman P. Late dislodgement of left bundle branch pacing lead and successful extraction. J Cardiovasc Electrophysiol. 2021 Aug;32(8):2346–9. https://doi.org/10.1111/jce.15155.

    Article  PubMed  Google Scholar 

  2. Vijayaraman P. Extraction of left bundle branch pacing lead. JACC Clin Electrophysiol. 2020 Jul;6(7):903–4. https://doi.org/10.1016/j.jacep.2020.04.005.

    Article  PubMed  Google Scholar 

  3. Migliore F, Aruta P, Cecchetto A, Iliceto S, Gerosa G, Catanzariti D. Extraction of left bundle branch pacing lead: a safe procedure? Europace. 2021 Dec 7;23(12):1921. https://doi.org/10.1093/europace/euab082.

    Article  PubMed  Google Scholar 

  4. le Polain de Waroux JB, Wielandts JY, Gillis K, Hilfiker G, Sorgente A, Capulzini L, et al. Repositioning and extraction of stylet-driven pacing leads with extendable helix used for left bundle branch area pacing. J Cardiovasc Electrophysiol. 2021;32(5):1464–6. https://doi.org/10.1111/jce.15030.

    Article  PubMed  Google Scholar 

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Correspondence to Cristina Aguilera Agudo.

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Agudo, C.A., Jaén, E.GI., Sánchez, D.J. et al. Extraction of a fractured pacemaker lead in the left bundle branch area using a snare via a femoral approach. J Interv Card Electrophysiol (2022). https://doi.org/10.1007/s10840-022-01325-7

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  • DOI: https://doi.org/10.1007/s10840-022-01325-7

Keywords

  • Left bundle branch area pacing
  • Physiological pacing
  • Extraction of pacemaker lead