Laser Extraction of Pacemaker Lead Traversing a Patent Foramen Ovale and the Mitral Valve

Anastacio, Melissa M.; Castillo-Sang, Mario; Lawton, Jennifer S.

doi:10.1016/j.athoracsur.2012.05.035

Cited by 9 publications

(13 citation statements)

References 4 publications

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“…Successful lead extraction is described within an early time span when performed; single case histories for longer time spans report on lead extraction using varying tools. 5 6 The images presented in this case study demonstrate the first described successful use of rotating dilator sheaths for extraction of such a misplaced lead via the septal defect after such a long time interval of 12 years. Three-dimensional (3D) echocardiographic imaging provided valuable information for planning and implementation of the percutaneous procedure ( Video 2 ).…”

Section: Discussionmentioning

confidence: 70%

“…1 2 3 4 Lead extraction is described in an early time period, late extraction not recommended due to thromboembolic risk. Laser extraction has been described but should not be the first option to choose, 5 6 the authors have opted for rotational dilating sheaths for extraction in the attempt to avoid a reoperative surgical procedure for the lead induced mitral valve regurgitation.…”

Section: Introductionmentioning

confidence: 99%

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Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Easo

Book

Hakmi³

et al. 2019

THORAC CARDIOV SURG Reports

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Background Necessity for lead removal in this case was after 12 years due to mitral valve regurgitation caused by retraction of the posterior leaflet by the inadvertently misplaced lead. Case Description This history describes a 45-year-old woman with history of multiple cardiac operations at young age with an abandoned defibrillator lead via a patent atrial septal defect. Lead extraction was performed with first described use of rotational dilating sheaths to reduce emboli risk, hoping to avoid a fourth surgical procedure with high risk. Conclusions Percutaneous lead removal using rotational sheaths is possible even for misplaced leads after long-time intervals with acceptable operative risk.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Easo

Book

Hakmi³

et al. 2019

THORAC CARDIOV SURG Reports

View full text Add to dashboard Cite

show abstract

“…The incorrectly placed leads should be detected by chest X-ray when the ventricular lead is placed in the more anterior morphologically right ventricle as opposed to the more posterior morphologically left ventricle 6 . In the event this is missed on the chest X-ray, such as in our patient, these patients can be diagnosed by having a paced rhythm with right bundle branch block or direct visualisation of the misplaced lead on echocardiogram 7 . There is significantly increased risk of thromboembolic events in patients with interatrial communications after having misplaced ventricular leads 8 …”

Section: Discussionmentioning

confidence: 84%

“…6 In the event this is missed on the chest X-ray, such as in our patient, these patients can be diagnosed by having a paced rhythm with right bundle branch block or direct visualisation of the misplaced lead on echocardiogram. 7 There is significantly increased risk of thromboembolic events in patients with interatrial communications after having misplaced ventricular leads. 8,9 To mitigate the risk of thromboembolic events in asymptomatic patients, some recommend lead removal in patients without haemodynamically significant heart disease by lead extraction versus surgical removal, whereas others recommending lifetime anticoagulation with warfarin.…”

Section: Discussionmentioning

confidence: 99%

Incorrect ventricular lead placement into the systemic right ventricle of a patient with D-transposition of the great vessels after Mustard procedure

Powell

Kimball

2016

Cardiol Young

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Incorrect pacemaker lead placement into the systemic ventricle is a complication that has rarely been described in patients with D-transposition status after atrial baffle palliation. We present a case of ventricular lead misplacement in the systemic right ventricle of a patient with D-transposition of the great arteries after Mustard procedure. This case demonstrates the challenges with proper imaging of lead placement in patients with atrial baffles and long-term management of a lead in the systemic ventricle.

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“…1,3 Inadvertent lead placement into the left ventricle (LV) is a rare but recognized complication of CEID use. 2,[4][5][6][7][8][9][10][11][12][13][14][15] This paper presents a case report of a patient who underwent atrioventricular node (AVN) ablation with subsequent misplacement of her single lead pacemaker.…”

Section: Introductionmentioning

confidence: 99%

Removal of Misplaced Left Ventricular Single Lead Pacemaker in a Patient Presenting with Recurrent Transient Ischemic Attacks

Hinojos

Ilg

2017

Spartan Medical Research Journal

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Over 200,000 cardiac electronic implantable devices are annually placed in individuals living within the United States. Complications from this procedure can range up to 12%. Inadvertent lead placement into the left ventricle is a rare but recognized complication of implantable cardiac electronic devices. This is a retrospective case report of a female patient in her late 70's who underwent atrioventricular node ablation and misplacement of single lead pacemaker, subsequently presenting with recurrent transient ischemic attacks one month later. Initial electrocardiogram and chest X-ray demonstrated misplacement of her pacemaker in the left ventricle. Medical therapy was attempted, however, patient subsequently underwent extraction via aortotomy with implantation of epicardial pacemaker. Inadvertent placement of implantable electronic cardiac devices is a rare but well recognized complication. A post-procedure electrocardiogram and chest X-ray should be routinely performed to confirm appropriate lead placement. Procedures to manage this complication are evolving with novel device therapies specifically designed for percutaneous lead extraction.

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Laser Extraction of Pacemaker Lead Traversing a Patent Foramen Ovale and the Mitral Valve

Cited by 9 publications

References 4 publications

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Incorrect ventricular lead placement into the systemic right ventricle of a patient with D-transposition of the great vessels after Mustard procedure

Removal of Misplaced Left Ventricular Single Lead Pacemaker in a Patient Presenting with Recurrent Transient Ischemic Attacks

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