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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 1/2019

01-01-2019 | Case report

Trans-innominate vein extraction of stuck pacemaker leads

Authors: Anish Gupta, Velayoudam Devagourou, Minati Choudhury, Gaind Saurabh

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 1/2019

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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.
Literature
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.
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.
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.CrossRefPubMedPubMedCentral
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.CrossRefPubMed
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.CrossRefPubMed
Metadata
Title
Trans-innominate vein extraction of stuck pacemaker leads
Authors
Anish Gupta
Velayoudam Devagourou
Minati Choudhury
Gaind Saurabh
Publication date
01-01-2019
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 1/2019
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-018-0690-7

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