Pacemaker lead extraction and recapture of venous access: technical problems arising from extensive venous obstruction

We report the case of the extraction of 18 year-old leads in a patient with a DDD pacemaker, and chronic obstruction of the left subclavian and innominate veins coexisting with extensive stenoses in the upper caval vein. After removal of pacing leads, angiographic guidewires were introduced via the...

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Bibliographic Details
Published in:Cardiology journal 2012, Vol.19 (5), p.513-517
Main Authors: Kutarski, Andrzej, Pietura, Radosław, Młynarczyk, Krzysztof, Małecka, Barbara, Głowniak, Andrzej
Format: Article
Language:English
Subjects:
Aged, 80 and over
Brachiocephalic Veins - diagnostic imaging
Cardiac Pacing, Artificial - adverse effects
Constriction, Pathologic
Device Removal
Electrodes, Implanted
Equipment Design
Equipment Failure
Female
Humans
Pacemaker, Artificial
Pacemakers
Phlebography
Radiography, Interventional
Subclavian Vein - diagnostic imaging
Treatment Outcome
Vascular Diseases - complications
Vascular Diseases - diagnostic imaging
Vena Cava, Superior - diagnostic imaging
Venous access
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Description
Summary:We report the case of the extraction of 18 year-old leads in a patient with a DDD pacemaker, and chronic obstruction of the left subclavian and innominate veins coexisting with extensive stenoses in the upper caval vein. After removal of pacing leads, angiographic guidewires were introduced via the Byrd dilatators and new pacing leads introduced with the use of long sheaths originally dedicated for transvenous left ventricular leads implantation. With this case, we discuss the problems arising during reimplantation of pacing leads in patients with chronic venous occlusion.
ISSN:1897-5593
1897-5593
1898-018X
DOI:10.5603/CJ.2012.0093