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Case Reports
. 2019 Jan;35(1):78-80.
doi: 10.1007/s12055-018-0690-7. Epub 2018 Aug 9.

Trans-innominate vein extraction of stuck pacemaker leads

Anish Gupta  1 , Velayoudam Devagourou  1 , Minati Choudhury  2 , Gaind Saurabh  1
Affiliations
Case Reports

Trans-innominate vein extraction of stuck pacemaker leads

Anish Gupta et al. Indian J Thorac Cardiovasc Surg. 2019 Jan.

Abstract

There is continued increase in the rate of cardiac implantable devices and so are complications associated with them which may necessitate their extraction. The common indications for lead extraction are lead infection, lead malfunction, lead upgrade, or retained broken leads. Different methods are used; most common are percutaneous but sometimes cardiac surgical help may be required. We present one such unique case where leads were not approachable through pacemaker pocket and sternotomy was required and stuck leads were extracted via innominate vein, pulling from either end.

Keywords: Cardiopulmonary bypass; Stuck pacemaker leads; Trans-innominate vein extraction.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Leads protruding through innominate vein
Fig. 2
Fig. 2
Extracted leads
Fig. 3
Fig. 3
New epicardial PPI
See this image and copyright information in PMC

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