| Use of a laser sheath to obtain venous access in pacemaker lead-related obstruction without extraction of the lead. | |
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MedLine Citation:
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PMID: 11858155 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: Occlusion of the subclavian vein resulting from pacemaker leads prohibits insertion of new leads. We describe the ipsilateral insertion of a new lead without extracting the old lead using a laser sheath in a pacemaker patient with an obstructed vein. METHODS AND RESULT: A laser sheath together with an outer sheath were advanced over the malfunctioning lead just beyond the occlusion. The laser sheath was pulled back and a guide wire inserted through the outer sheath kept in position distal of the occlusion. After removal of the outer sheath a peel-away sheath was introduced and a new lead implanted next to the malfunctioning lead that was abandoned and not extracted. CONCLUSION: By avoiding using the laser along the whole length of the lead we greatly reduced the risk of the procedure but were still able to recanalize the obstructed vein. A risk of bilateral occlusion is avoided and the contralateral site saved as an entry point for future needs. |
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Authors:
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F A L E Bracke; A Meijer; L M van Gelder |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: 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 Volume: 4 ISSN: 1099-5129 ISO Abbreviation: Europace Publication Date: 2002 Jan |
Date Detail:
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Created Date: 2002-02-15 Completed Date: 2002-07-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100883649 Medline TA: Europace Country: England |
Other Details:
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Languages: eng Pagination: 67-8 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands. f.bracke@skynet.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arrhythmias, Cardiac
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radiography,
therapy* Equipment Failure Graft Occlusion, Vascular / etiology*, radiography, surgery* Humans Laser Therapy / methods* Male Middle Aged Pacemaker, Artificial / adverse effects* Phlebography Subclavian Vein / radiography, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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