A Modified Transvenous Single Mechanical Dilatation Technique to Remove a Chronically Implanted Active-Fixation Coronary Sinus Pacing Lead

We described a 77‐year‐old patient, previously implanted with a dual‐chamber pacemaker later upgraded to a cardiac resynchronization therapy‐defibrillator (CRT‐D) device with an active‐fixation coronary sinus pacing lead, who underwent a transvenous mechanical extraction procedure for a device‐relat...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2011-07, Vol.34 (7), p.e66-e69
Main Authors: BONGIORNI, MARIA GRAZIA, DI CORI, ANDREA, ZUCCHELLI, GIULIO, SEGRETI, LUCA, DE LUCIA, RAFFAELE, PAPERINI, LUCA, SOLDATI, EZIO
Format: Article
Language:English
Subjects:
active-fixation lead
Aged
cardiac resynchronization therapy
Cardiac Resynchronization Therapy Devices
Coronary Sinus
Device Removal - methods
Dilatation
Humans
lead extraction
Male
StarFix lead
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Summary:We described a 77‐year‐old patient, previously implanted with a dual‐chamber pacemaker later upgraded to a cardiac resynchronization therapy‐defibrillator (CRT‐D) device with an active‐fixation coronary sinus pacing lead, who underwent a transvenous mechanical extraction procedure for a device‐related systemic infection. All leads were removed successfully with a transvenous approach. With regard to the coronary sinus (CS) lead (Attain 4195 StarFix, Medtronic Inc., Minneapolis, MN, USA), manual traction was ineffective and extraction required long and challenging mechanical dilatation up to distal CS using either conventional sheaths or modified CS lead delivery. (PACE 2010; 34:e66–e69)
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2010.02784.x