Trans-innominate vein extraction of stuck pacemaker leads

  • Anish GuptaEmail author
  • Velayoudam Devagourou
  • Minati Choudhury
  • Gaind Saurabh
Case report


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.


Stuck pacemaker leads Trans-innominate vein extraction Cardiopulmonary bypass 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Not applicable

Informed consent



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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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