scholarly journals Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

2019 ◽  
Vol 08 (01) ◽  
pp. e8-e10
Author(s):  
Jerry Easo ◽  
Malte Book ◽  
Samer Hakmi ◽  
Alexander Weymann
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Mitral Valve Regurgitation ◽  
Lead Extraction ◽  
Lead Removal ◽  
Time Intervals ◽  
Ventricular Lead ◽  
Long Time ◽  
Percutaneous Extraction ◽  
History Of

Background Necessity for lead removal in this case was after 12 years due to mitral valve regurgitation caused by retraction of the posterior leaflet by the inadvertently misplaced lead. Case Description This history describes a 45-year-old woman with history of multiple cardiac operations at young age with an abandoned defibrillator lead via a patent atrial septal defect. Lead extraction was performed with first described use of rotational dilating sheaths to reduce emboli risk, hoping to avoid a fourth surgical procedure with high risk. Conclusions Percutaneous lead removal using rotational sheaths is possible even for misplaced leads after long-time intervals with acceptable operative risk.

scholarly journals Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Siavash Piran ◽  
Sam Schulman
Keyword(s):  
Atrial Fibrillation ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Paradoxical Embolism ◽  
Prothrombin G20210a ◽  
Renal Infarction ◽  
Suspected Case ◽  
Device Closure ◽  
Inherited Thrombophilia ◽  
History Of

We present a case of renal infarction in a 43-year-old female with history of stroke at age 14. She was found to be heterozygous for the prothrombin G20210A gene mutation. Loop monitoring revealed no atrial fibrillation. Transthoracic and transesophageal echocardiograms showed no thrombus. However, there was a small shunt due to an atrial septal defect (ASD). She was treated with warfarin and had device closure of her ASD. This was a suspected case of paradoxical embolism through an ASD leading to renal infarction.

scholarly journals SYSTOLIC TIME INTERVALS IN ATRIAL SEPTAL DEFECT

1977 ◽  
Vol 11 (4) ◽  
pp. 400-400
Author(s):  
Richard M Schieken ◽  
Michael Maximov ◽  
R M Lauer
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Systolic Time Intervals ◽  
Time Intervals ◽  
Systolic Time

scholarly journals Natural history of atrial septal defect.

Heart ◽  
1970 ◽  
Vol 32 (6) ◽  
pp. 820-826 ◽  
Author(s):  
M Campbell
Keyword(s):  
Natural History ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
History Of

scholarly journals Traumatic Atrial Septal Defect and Coronary Sinus to Left Atrium Fistula from Coronary Sinus Pacing Lead Removal

2010 ◽  
Vol 113 (2) ◽  
pp. 496-498 ◽  
Author(s):  
Jiapeng Huang ◽  
Sebastian Pagni ◽  
Michael J. Bouvette ◽  
Jing Zhou ◽  
Samuel Morgos ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrium ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Lead Removal ◽  
Pacing Lead

scholarly journals Percutaneous Extraction of Transvenous Permanent Pacemaker/Defibrillator Leads

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Stylianos Paraskevaidis ◽  
Dimitrios Konstantinou ◽  
Vassilios Vassilikos ◽  
Efstratios Theofilogiannakos ◽  
Lilian Mantziari ◽  
...  
Keyword(s):  
Success Rate ◽  
Type System ◽  
Cardiac Resynchronisation Therapy ◽  
Permanent Pacemaker ◽  
Lead Extraction ◽  
Lead Removal ◽  
Percutaneous Extraction ◽  
Traction Device ◽  
Resynchronisation Therapy ◽  
Procedural Success

Background. Widespread use of cardiovascular implantable electronic devices has inevitably increased the need for lead revision/replacement. We report our experience in percutaneous extraction of transvenous permanent pacemaker/defibrillator leads.Methods.Thirty-six patients admitted to our centre from September 2005 through October 2012 for percutaneous lead extraction were included. Lead removal was attempted using Spectranetics traction-type system (Spectranetics Corp., Colorado, CO, USA) and VascoExtor countertraction-type system (Vascomed GmbH, Weil am Rhein, Germany).Results.Lead extraction was attempted in 59 leads from 36 patients (27 men), mean ± SD age61±5years, with permanent pacemaker(n=25), defibrillator(n=8), or cardiac resynchronisation therapy(n=3)with a mean ± SD implant duration of50±23months. The indications for lead removal included pocket infection(n=23), endocarditis(n=2), and ventricular(n=10)and atrial lead dysfunction(n=1). Traction device was used for 33 leads and countertraction device for 26 leads. Mean ± SD fluoroscopy time was4±2minutes/lead for leads implanted <48 months(n=38)and7±3minutes/lead for leads implanted >48 months(n=21),P=0.03. Complete procedural success rate was 91.7% and clinical procedural success rate was 100%, while lead procedural success rate was 95%.Conclusions.In conclusion, percutaneous extraction of transvenous permanent pacemaker/defibrillator leads using dedicated removal tools is both feasible and safe.

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