A rare complication of transvenous lead extraction - pulmonary embolization with a broken distal lead fragment
Andrzej Kutarski 1  
,  
Maciej Polewczyk 2  
,  
 
 
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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
Publish date: 2017-01-04
 
Heart Beat 2016;1:31–34
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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.

CORRESPONDING AUTHOR:
Maciej Polewczyk   
Acute Cardiac Care Unit, Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland, ul. Grunwaldzka 45, 25-736 Kielce, Poland
eISSN:2543-6333