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KMID : 1011920140150030057
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International Journal of Arrhythmia
2014 Volume.15 No. 3 p.57 ~ p.61
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Transvenous Extraction of 30-year-old Pacemaker Leads in a Patient with Eisenmenger Syndrome
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Uhm Jae-Sun
Joung Bo-Young
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Abstract
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Extraction of old pacemaker leads is particularly challenging owing to the high level of adherence to adjacent tissue. We report a case of transvenous extraction of 30-year-old pacemaker leads by conventional traction and counter-traction techniques, combined with a snaring method. A 42-year-old man presented with erythema and purulent discharge from a pacemaker scar. He had undergone DDD (dual chamber pacing, dual chamber sensing, dual function) pacemaker implantation 30 years previously for complete atrioventricular block after incomplete atrioventricular septal defect repair. Following diagnosis of pacemaker infection, we extracted the pacemaker leads transvenously using locking stylets, telescoping dilator sheaths, and a snare catheter.
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KEYWORD
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extraction, infection, lead, pacemaker
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