An infrequent complication of lead extraction – distal part of a lead rupture and surprising self-solution of the problem
Andrzej Kutarski 1  
,  
Radoslaw Pietura 2  
,  
Maciej Polewczyk 3  
,  
 
 
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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
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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

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