eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
3/2013
vol. 9
 
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abstract:

Case reports
One step behind to step ahead – femoral approach to stabilize and to extract functional pacing lead to regain venous access

Aleksander Maciąg
,
Paweł Syska
,
Krzysztof Kuśmierski
,
Beata Broy
,
Maciej Sterliński

Postep Kardiol Inter 2013; 9, 3 (33): 310–312
Online publish date: 2013/09/16
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Transvenous lead extraction can be a method to regain venous access. We present the case of a man, aged 67, with indications to upgrade an ICD to a resynchronization therapy device. Since innominate vein occlusion was diagnosed and extraction of an abandoned ventricular pacing lead did not provide lumen regain, a functional atrial lead was extracted with the femoral approach to stabilization and venous access was regained. Asymptomatic vein wall damage but no other complications were recorded. The simultaneous application of different techniques to regain venous access may allow success of the final procedure in system upgrading.
keywords:

lead extraction, vein occlusion

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