Document Detail

Percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery.
MedLine Citation:
PMID:  20535721     Owner:  NLM     Status:  MEDLINE    
We describe a case of percutaneous removal of endocardial implantable cardioverter-defibrillator lead displaced to the right pulmonary artery. The procedure was performed from two accesses; from the lower one (femoral) and then, due to technical problems, from the upper one (subclavian). In the last stage the flattened Dotter's basket was introduced to the heart inside the Byrd dilator and then fastened to the described lead as the external 'splint'. This solution is an alternative to the recommended use of the internal metal leader with anchoring function in case of significant malformation of the internal lumen of the lead. The procedure we describe is an example of the sort of individual, original solution indispensable for the efficient and safe removal of untypically displaced leads.
Barbara Małecka; Andrzej Kutarski; Andrzej Zabek; Andrzej Maziarz; Mariusz Pytkowski
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology journal     Volume:  17     ISSN:  1897-5593     ISO Abbreviation:  Cardiol J     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-10     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392712     Medline TA:  Cardiol J     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  293-8     Citation Subset:  IM    
Department of Electrocardiology, Institute of Cardiology, Jagiellonian University Collegium Medicum, John Paul II Hospital in Krakow, Krakow, Poland.
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MeSH Terms
Cardiomyopathy, Hypertrophic / complications,  therapy*
Death, Sudden, Cardiac / etiology,  prevention & control
Defibrillators, Implantable / adverse effects*
Device Removal / methods*
Electric Countershock / adverse effects*,  instrumentation
Femoral Vein
Foreign-Body Migration / etiology,  radiography,  therapy*
Heart Catheterization*
Pulmonary Artery* / radiography
Radiography, Interventional
Subclavian Vein
Treatment Outcome
Ventricular Fibrillation / etiology,  prevention & control

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