Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

Abstract

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.

Cost-Utility Analysis of Percutaneous and Surgery Methods in Extraction of Cardiac Leads Infection

“…ICD and pasmaker can cause infection, and studies show that the pasemakes infection changed from 1.5-2.4% (7). Therefore, with the increase pacemakers, the infection of this device has increased, These infections cause complications and costs, and the cost of treatment of this infection has increased in recent years (8) Infection pacemakers can cause death (9).…”