A rare complication of transvenous lead extraction - pulmonary embolization with a broken distal lead fragment
| 1 | Department of Cardiology, Medical University of Lublin, Poland |
| 2 | Acute Cardiac Care Unit, Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland |
| 3 | Department of Radiography, Medical University of Lublin, Poland |
CORRESPONDING AUTHOR
Maciej Polewczyk
Acute Cardiac Care Unit, Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland, ul. Grunwaldzka 45, 25-736 Kielce, Poland
Acute Cardiac Care Unit, Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland, ul. Grunwaldzka 45, 25-736 Kielce, Poland
Publication date: 2017-01-04
Heart Beat 2016;1:31–34
KEYWORDS
TOPICS
ABSTRACT
Background:
During procedures of transvenous lead extraction (TLE) by dilation/counter traction, the tip of the lead might be broken and dislocated into pulmonary artery.
Material and methods:
Among 2269 TLE procedures we encountered two cases (0,09%) of lead breakage and following dislocation into pulmonary artery.
Results:
In both patients we extracted dislocated leads using snare catheter. There were no periprocedural complications.
Conclusions:
Cooperation of the interventional electrocardiologist performing lead extraction and experienced interventional radiologist with wide spectrum of tools enabled success of both procedures.
During procedures of transvenous lead extraction (TLE) by dilation/counter traction, the tip of the lead might be broken and dislocated into pulmonary artery.
Material and methods:
Among 2269 TLE procedures we encountered two cases (0,09%) of lead breakage and following dislocation into pulmonary artery.
Results:
In both patients we extracted dislocated leads using snare catheter. There were no periprocedural complications.
Conclusions:
Cooperation of the interventional electrocardiologist performing lead extraction and experienced interventional radiologist with wide spectrum of tools enabled success of both procedures.
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