Extraction of a fractured pacemaker lead in the left bundle branch area using a snare via a femoral approach

Agudo, Cristina Aguilera; Jaen, E Garcia-Izquierdo; Sanchez, D Jimenez; Castro, Victor; Ramos, Jorge Toquero; Lozano, Ignacio Fernández

doi:10.1007/s10840-022-01325-7

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…There is only one case report that showed successful percutaneous extraction of a SD lead from the left septum 4 months after implantation using a snare via a femoral approach, due to a distal fracture of the electrode occurring during the procedure. 5 Our case showed the feasibility and ease of extraction of a LBBAP lead after 10 months from implantation without complications. Our methodology involved employing a standard stylet, along with delicately applied counterclockwise rotations of the lead body.…”

mentioning

confidence: 56%

“…Compared with LL leads, SD leads may benefit from better support and stability during LBBAP implantation, but concerns may arise about long‐term extractability. There is only one case report that showed successful percutaneous extraction of a SD lead from the left septum 4 months after implantation using a snare via a femoral approach, due to a distal fracture of the electrode occurring during the procedure 5 . Our case showed the feasibility and ease of extraction of a LBBAP lead after 10 months from implantation without complications.…”

Section: Figurementioning

confidence: 67%

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Extraction of stylet‐driven pacing lead for left bundle branch area pacing

Bonfanti,

Mantovani,

Refugjati

et al. 2023

Journal of Arrhythmia

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mentioning

confidence: 56%

Section: Figurementioning

confidence: 67%

Extraction of stylet‐driven pacing lead for left bundle branch area pacing

Bonfanti,

Mantovani,

Refugjati

et al. 2023

Journal of Arrhythmia

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“…While the 3830 lead is the most widely used lead for the delivery of CSP, there have been reports of LBBP using SDLs [ 1 ]. Cases of leads with an extendable helix and fracture of the helix rotating mechanism during lead extraction have been described [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Transvenous lead extraction of lumenless 3830 pacing lead in conduction system pacing: a single-center experience

Migliore

Pittorru

Lazzari

et al. 2023

J Interv Card Electrophysiol

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Background The Medtronic SelectSecure Model 3830 lumenless lead (Medtronic, Inc., Minneapolis, MN) is commonly used for conduction system pacing (CSP). However, with this increased use, the potential need for transvenous lead extraction (TLE) also will increase. While extraction of endocardial 3830 leads is rather well described especially in pediatric and adult congenital heart disease population, there is very limited data on extraction of CSP leads. In the present study, we reported our preliminary experience on TLE of CSP leads and provided technical considerations. Methods The study population comprised 6 consecutive patients (67% male; mean age 70 ± 22 years) with CSP leads (3830 leads), including left bundle branch pacing (LBBP) lead (n = 3) and His pacing lead (n = 3) undergoing TLE. Overall target leads were 17. The mean implant duration time of CSP leads was 97 ± 90 months [range 8–193). Results Manual traction was successful in 2 cases and mechanical extraction tools were required in the remaining cases. Sixteen leads (94%) were completely extracted, whereas incomplete removal was observed in one lead (6%) among 1 patient. Of note, in the only lead incompletely removed, we observed retention of < 1-cm remnant of lead material consisting of the screw of 3830 LBBP lead into the interventricular septum. No failure of lead extraction was reported and no major complications occurred. Conclusions Our findings demonstrated that at an experienced center the success of TLE of chronically implanted CSP leads is high in the absence of major complications also when mechanical extraction tools are needed.

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“…This may have implications for lead extraction. One case report documented a femoral approach with double snare technique to extract such a lead where the conventional stylet approach was not possible due to conductor fracture [150]. Overall, experience with extraction of CSP leads is limited and we require more data as the volume of implanted CIED systems utilizing CSP increases worldwide.…”

Section: Extraction Of Conduction System Pacing Leadsmentioning

confidence: 99%

Paradigm Shifts in Cardiac Pacing: Where Have We Been and What Lies Ahead?

Ballantyne

Chew

Vandenberk

2023

JCM

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The history of cardiac pacing dates back to the 1930s with externalized pacing and has evolved to incorporate transvenous, multi-lead, or even leadless devices. Annual implantation rates of cardiac implantable electronic devices have increased since the introduction of the implantable system, likely related to expanding indications, and increasing global life expectancy and aging demographics. Here, we summarize the relevant literature on cardiac pacing to demonstrate the enormous impact it has had within the field of cardiology. Further, we look forward to the future of cardiac pacing, including conduction system pacing and leadless pacing strategies.

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Extraction of a fractured pacemaker lead in the left bundle branch area using a snare via a femoral approach

Cited by 9 publications

References 4 publications

Extraction of stylet‐driven pacing lead for left bundle branch area pacing

Extraction of stylet‐driven pacing lead for left bundle branch area pacing

Transvenous lead extraction of lumenless 3830 pacing lead in conduction system pacing: a single-center experience

Paradigm Shifts in Cardiac Pacing: Where Have We Been and What Lies Ahead?

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