New technique: repositioning of dislodged atrial pacing lead with a specially designed urological basket

Sharif, Ahmad Yamini; Davoodi, Gholamreza; Saeed, Ali Kazemi; Sadeghian, Saeed

doi:10.1093/europace/eul143

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…By contrast, Thilen et al11 declared that increased P-wave duration did not decrease with surgical repair in older patients and it was not related to atrial dilatation. In haemodynamically significant ASD, the increase in P-wave duration may depend on regional damage of the atrial conduction pathways rather than atrial enlargement 12,13…”

Section: Discussionmentioning

confidence: 99%

Comparison of primary repair and patch plasty procedure on the P wave in adult atrial septal defect closure

Uçak

Temizkan

Uğur

et al. 2016

CVJA

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SummaryIntroduction:In this study we compared the effects of two different surgical procedures for closure of adult atrial septal defect (ASD) on postoperative P-wave changes.Methods:Patients who underwent cardiac surgery for secundum type ASD closure were evaluated retrospectively. Seventy-two patients with primary repair of ASD and 29 patients with pericardial patch plasty repair were compared according to Pmax, Pmin and P-wave dispersions (Pd).Results:In each group, the increases in postoperative maximum P-wave duration (Pmax) and minimum P-wave duration (Pmin) were statistically significant. There was no statistically significant difference between post- and pre-operative Pd values. In the comparison between group 1 and group 2 in terms of postoperative P-wave changes (Pmax, Pmin, Pd) there was no statistically significant difference.Conclusion:Comparing patch plasty and primary repair for the surgical closure of ASD in the early to mid-postoperative period, no difference was found and both surgical procedures can be performed in adult ASDs.

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Section: Discussionmentioning

confidence: 99%

Comparison of primary repair and patch plasty procedure on the P wave in adult atrial septal defect closure

Uçak

Temizkan

Uğur

et al. 2016

CVJA

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“…Few reports have been described in the literature, regarding percutaneous techniques to avoid the re-opening of the pocket, in cases of displaced leads. These cases were mostly about atrial leads, which were repositioned using a trans-femoral approach and deflectable catheters [3], diagnostic catheters and guidewires [4][5][6][7] or even modified urological tools [8].…”

Section: Discussionmentioning

confidence: 99%

Effective Percutaneous Repositioning of an Active Fixation ICD Lead

Bongiorni¹,

Coluccia²,

Segreti³

et al. 2015

Int J Vasc Surg Med

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We report a case of effective trans catheter repositioning of an ICD lead that was displaced during a trans venous extraction procedure of another malfunctioning ICD lead. This original technique was effective also in screwing-in the active fixation tip of the lead. Skilled operators could take into account this technique to avoid the re-opening of the device pocket, when dealing with specific situations at high risk of infection. ventricular ejection fraction. No other relevant comorbidities were known.The patient presented to our attention with two leads: the abandoned dual-coil lead and the single-coil malfunctioning lead (Kainox RV-S 75, Biotronik, Berlin, Germany), that was targeted for TLE ( Figure 1A). The indication for TLE raised after evidence of significantly decreased shock impedance, from the chronic values around 65 Ohm, to 29 Ohm. Lead dwelling time was twelve years and a procedure of TLE with concomitant new system implantation was planned under general anesthesia.Fibrous adherences in the venous tree were very robust. Singlesheath mechanical dilatation from left subclavian venous entry side in superior vena cava, right atrium (RA) and ventricle (RV) was really challenging. During dilatation, the lead was broken in several points and its remaining extravascular portion was minimal. We decided to cross over to an internal transjugular approach. A deflectable diagnostic catheter was advanced from the left femoral vein and used to grasp the lead in the RA; at this point, the lead was completely intravascular and was then exteriorized from the right internal jugular vein, using two Lasso catheters to catch its externalized cables [1,2]. Case PresentationA 74-years-old male patient was referred to our Institution for transvenous extraction (TLE) of a malfunctioning defibrillator (ICD) lead. Patient's clinical history reported a previous episode of aborted sudden cardiac death, occurred two years after an anterior acute myocardial infarction and a subsequent surgical revascularization. After resuscitation, the patient underwent coronary angiography, which showed no possibility offurther percutaneous or surgical revascularization. A single-chamber ICD system was implanted. Three years later, the occurrence of inappropriate shocks revealed a lead malfunction, unsuccessfully treated with extraction: the lead was abandoned and a new one was implanted. In the follow-up, the patient presented appropriate ICD shocks, despite a 50% left 005Given the long duration of the procedure and the infection risks, we decided to perform the new system implantation at this point, using the same subclavian venous access and left prepectoral pocket. A new single-coil ICD lead with active fixation mechanism was implanted; its tip was screwed-in to the distal portion of the interventricular septum ( Figure 1B). The new lead was then connected to a new single-chamber ICD and the pocket was closed and sutured. Then we proceeded to complete the TLE procedure.The mechanical dilatation from right internal jugular vein w...

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“…However, this increases the risk of pocket infection and increases lead insulation problems. Snare systems and urological baskets have also been used for repositioning atrial leads [ 2 , 3 ]. We report a patient who experienced dislodgement of the atrial pacemaker lead of a cardiac resynchronization therapy (CRT) device, which was corrected using a regular deflectable ablation catheter by the transfemoral route.…”

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confidence: 99%

Percutaneous right atrial pacemaker lead repositioning using a regular deflectable ablation catheter

Özel¹,

Osztheimer

Öztürk

et al. 2016

pwki

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New technique: repositioning of dislodged atrial pacing lead with a specially designed urological basket

Cited by 5 publications

References 4 publications

Comparison of primary repair and patch plasty procedure on the P wave in adult atrial septal defect closure

Comparison of primary repair and patch plasty procedure on the P wave in adult atrial septal defect closure

Effective Percutaneous Repositioning of an Active Fixation ICD Lead

Percutaneous right atrial pacemaker lead repositioning using a regular deflectable ablation catheter

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