Successful transvenous lead extraction after a failed open surgical attempt.
نویسندگان
چکیده
An 81-year-old man was referred with an infected cardiac resynchronization therapy defibrillator (CRT-D) system. His initial dualchamber implantable cardioverter-defibrillator (ICD) had been implanted 8 years earlier and upgraded to a CRT-D system 2 years before referral. Epicardial atrial and left ventricular (LV) leads were subsequently added after the endocardial LV lead lost capture. The endocardial LV lead was abandoned. One year before referral, a local revision was performed for impending erosion. Erosion recurred and methicillin-resistant staphylococcus aureus (MRSA) was grown. An attempted transvenous extraction 9 months before referral was aborted due to inability to
منابع مشابه
Acute stroke from paradoxical embolism of dense fibrous tissue following pacemaker lead extraction: salvation by mechanical thrombectomy
Systemic embolization is a dreaded complication of transvenous lead extraction (TLE), even without visible vegetations. Preoperative patent foramen ovale evaluation is important, justifying neurological surveillance or consideration of surgical extraction in selected cases. In case of stroke after TLE, mechanical thrombectomy is a successful therapy, and should be readily available.
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ورودعنوان ژورنال:
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
دوره 18 1 شماره
صفحات -
تاریخ انتشار 2016