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.
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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.
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.
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.
Koneru JN, Ellenbogen KA. High risk lead extraction using a hybrid approach: the blade and the lightsaber. J Cardiovasc Electrophysiol. 2014;25:622–3.
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.
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Gupta, A., Devagourou, V., Choudhury, M. et al. Trans-innominate vein extraction of stuck pacemaker leads. Indian J Thorac Cardiovasc Surg 35, 78–80 (2019). https://doi.org/10.1007/s12055-018-0690-7
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DOI: https://doi.org/10.1007/s12055-018-0690-7