Successful extraction of right ventricular lead remnants using the FlexCath® steerable sheath

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Tanyanan TanawuttiwatJeffrey Brinker

Abstract

In patients undergoing laser lead extraction, incomplete or failed lead removal occur in over 3 % of leads. Because the current available tools have limitations in reaching the right ventricle (RV), the procedure becomes challenging when the lead breaks and its fragments remain lodged in the RV. We describe two cases in which the FlexCath® steerable sheath, normally used in cryoballoon catheter ablation for atrial fibrillation, was useful in directing a bioptome to right ventricular lead fragments and thus allowing for complete lead extraction.

References

Dec 1, 1990·Pacing and Clinical Electrophysiology : PACE·N E FearnotT D Sellers
Feb 5, 1999·Current Opinion in Cardiology·B K Kantharia, S P Kutalek
Jun 2, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·M J Pekka RaatikainenJarmo Lahtinen
Aug 27, 2011·Journal of the American College of Cardiology·Arnold J GreensponSteven M Kurtz
Jan 17, 2014·Pacing and Clinical Electrophysiology : PACE·Andrew MartinNigel Lever
Oct 15, 2014·Journal of Cardiovascular Electrophysiology·Siva K MulpuruSamuel J Asirvatham

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