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- Title
Triple access transvenous lead extraction: Pull‐through of a lead from subclavian to jugular access to facilitate extraction.
- Authors
Akhtar, Zaki; Zaman, Khiast Ullah; Leung, Lisa WM; Zuberi, Zia; Sohal, Manav; Gallagher, Mark M.
- Abstract
A 39‐years old ventricular lead of a right‐sided single‐chamber pacemaker required extraction for infection. Angulation at the right subclavian‐superior vena cava junction coupled with calcified fibrotic encapsulating tissue prevented advancement of a rotational dissecting sheath. To straighten the lead, it was pulled from the subclavian and out of the right internal jugular vein, whilst the Needle's‐Eye Snare via the femoral access provided counter‐traction. A 13‐french rotational dissecting sheath was successfully advanced over the lead via the jugular access to complete the lead extraction without any complication.
- Subjects
ELECTRODES; MEDICAL device removal; FEMORAL vein; ARTIFICIAL implants; INFECTION; TREATMENT effectiveness; JUGULAR vein; CARDIAC pacemakers; COMPLICATIONS of prosthesis
- Publication
Pacing & Clinical Electrophysiology, 2022, Vol 45, Issue 11, p1295
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.14547