Surgical Lead Extraction for Total Occlusion of the Superior Vena Cava by Chronic Lead Infection After Mustard Procedure

2014 ◽  
Vol 29 (3) ◽  
pp. 406-409 ◽  
Author(s):  
Christian Steinberg ◽  
Davide Calvaruso ◽  
Jean Guimond ◽  
Elisabeth Bédard ◽  
Jean Perron
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Lead Extraction ◽  
Total Occlusion ◽  
Lead Infection ◽  
Mustard Procedure

Efficient approach to superior vena cava baffle stenosis following the Mustard procedure: Expanding the role of a mechanical rotating dilator sheath for lead extraction

2020 ◽  
Vol 35 (7) ◽  
pp. 1664-1668
Author(s):  
Chi Chi Do‐Nguyen ◽  
Alexander Ochman ◽  
Maxwell F. Kilcoyne ◽  
Richard Kovach ◽  
Boban P. Abraham ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Lead Extraction ◽  
Efficient Approach ◽  
Mustard Procedure

Persistent left superior vena cava transvenous lead extraction: A European experience

2021 ◽  
Author(s):  
Zaki Akhtar ◽  
Manav Sohal ◽  
Christoph T. Starck ◽  
Patrizio Mazzone ◽  
Francesco Melillo ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Lead Extraction ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
European Experience

scholarly journals The use of laser lead extraction sheath in the presence of supra-cardiac occlusion of the central veins for cardiac implantable electronic device lead upgrade or revision

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251829
Author(s):  
Sameer Al-Maisary ◽  
Gabriele Romano ◽  
Matthias Karck ◽  
Raffaele De Simone ◽  
Jamila Kremer
Keyword(s):  
Superior Vena Cava ◽  
Complication Rate ◽  
Electronic Device ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Access ◽  
Left Ventricular ◽  
Right Atrial ◽  
Lead Extraction ◽  
Severe Stenosis

Background The implantation of cardiac implantable electronic devices (CIED) has increased in the last decades with improvement in the quality of life of patients with cardiac rhythm disorders. The presence of bilateral subclavian, innominate or superior vena cava obstruction is a major limitation to device revision and/or upgrade. Methods and material This is retrospective study of patients who underwent laser-assisted lead extraction (LLE) (GlideLight laser sheath, Spectranetics Corporation, Colorado Springs, USA) with lead revision or upgrade using the laser sheath as a guide rail. Patients with known occlusion, severe stenosis or functional obstruction of the venous access vessels with indwelling leads were included in this study. Results 106 patients underwent percutaneous LLE with lead revision and/or upgrade. Preoperative known complete occlusion or severe stenosis of access veins was present in 23 patients (21.5%). More patients with implantable cardioverter-defibrillator (ICD) underwent LLE (64.1%) than patients with CRT-Ds (24.5%) and pacemaker patients (11.3%). In total 172 leads were extracted: 79 (45.9%) single-coil defibrillator leads, 35 (20.3%) dual-coil defibrillator leads, 31 (18.0%) right atrial leads, 24 (13.9%) right ventricular leads and three (1.7%) malfunctional coronary sinus left ventricular pacing leads. The mean age of leads was 99.2±65.6 months. The implantation of new leads after crossing the venous stenosis/obstruction was successful in 98 (92.4%) cases. Postoperative complications were pocket hematoma in two cases and wound infection in one case. No peri-operative and no immediate postoperative death was recorded. One intraoperative superior vena cava tear was treated by immediate thoracotomy and surgical repair. Conclusion In a single-center study on LLE in the presence of supra-cardiac occlusion of the central veins for CIED lead upgrade and revision we could demonstrate a low procedural complication rate with no procedural deaths. Most of the leads could be completely extracted to revise or upgrade the system. Our study showed a low complication rate, with acceptable mortality rates.

Superior Vena Cava Thrombosis after Intravascular AICD Lead Extraction: A Case Report

2006 ◽  
Vol 7 (2) ◽  
pp. 90-93 ◽  
Author(s):  
L. Santangelo ◽  
V. Russo ◽  
E. Ammendola ◽  
I. De Crescenzo ◽  
C. Pagano ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Lead Extraction ◽  
Vena Cava Thrombosis

Transcatheter leadless pacemaker implantation in a patient with failing transvenous pacemaker and total occlusion of superior vena cava

2018 ◽  
Vol 19 (9) ◽  
pp. 511-512 ◽  
Author(s):  
Gabriele Dell’Era ◽  
Stefano Porcellini ◽  
Enrico Boggio ◽  
Eleonora Prenna ◽  
Miriam Gravellone ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Total Occlusion ◽  
Leadless Pacemaker
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