An infrequent complication of lead extraction – distal part of a lead rupture and surprising self-solution of the problem
| 1 | Department of Cardiology, Medical University of Lublin, Poland |
| 2 | Department of Radiography Medical University of Lublin, Poland |
| 3 | Acute Cardiac Care Unit, Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland |
| 4 | The Jan Kochanowski University, Department of Medicine and Health Sciences, Kielce, Poland |
Publish date: 2016-12-22
Heart Beat 2016;1:12–14
KEYWORDS:
complications of lead extractionlead breakagelead fragment accidental extractiontransvenous lead extraction
TOPICS:
ABSTRACT:
Background:
During transvenous lead extraction (TLE), the distal part of the lead might be broken complicating the procedure.
Material and methods:
Among 2269 TLE procedures and 3809 chronically implanted lead extraction procedures we met two very similar and surprising solutions of broken lead parts extraction.
Results:
In two cases broken lead fragment was accidentally removed during other lead extraction. Complicated procedure was avoided.
Conclusions:
Predominant single-side Byrd dilator rotation during extraction of the other lead may roll the broken lead fragment over curently extracted lead and enable its accidental removal
During transvenous lead extraction (TLE), the distal part of the lead might be broken complicating the procedure.
Material and methods:
Among 2269 TLE procedures and 3809 chronically implanted lead extraction procedures we met two very similar and surprising solutions of broken lead parts extraction.
Results:
In two cases broken lead fragment was accidentally removed during other lead extraction. Complicated procedure was avoided.
Conclusions:
Predominant single-side Byrd dilator rotation during extraction of the other lead may roll the broken lead fragment over curently extracted lead and enable its accidental removal
CORRESPONDING AUTHOR:
Maciej Polewczyk
Acute Cardiac Care Unit, Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, Kielce, Poland, ul. Grunwaldzka 45, 25-736 Kielce, Poland
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