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Isonaga Y, Inamura Y, Sato A, Inaba O, Goya M, Sasano T. Challenging lead extraction with quadripolar active fixation of coronary sinus with severe adhesion. HeartRhythm Case Rep 2023; 9:614-617. [PMID: 37746564 PMCID: PMC10511931 DOI: 10.1016/j.hrcr.2023.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023] Open
Affiliation(s)
- Yuhei Isonaga
- Department of Cardiology, Japanese Red Cross Saitama Hospital, Saitama, Japan
| | - Yukihiro Inamura
- Department of Cardiology, Japanese Red Cross Saitama Hospital, Saitama, Japan
| | - Akira Sato
- Department of Cardiology, Japanese Red Cross Saitama Hospital, Saitama, Japan
| | - Osamu Inaba
- Department of Cardiology, Japanese Red Cross Saitama Hospital, Saitama, Japan
| | - Masahiko Goya
- Cardiovascular Center, International University of Health and Welfare, Mita Hospital, Tokyo, Japan
| | - Tetsuo Sasano
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan
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Ahmed A, Arabia G, Bontempi L, Cerini M, Salghetti F, Muneretto C, Mitacchione G, Milidoni A, Curnis A. Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series. Pacing Clin Electrophysiol 2022; 45:861-865. [PMID: 35596733 PMCID: PMC9541447 DOI: 10.1111/pace.14536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 04/14/2022] [Accepted: 05/13/2022] [Indexed: 11/29/2022]
Abstract
Background Transvenous lead extraction is the standard therapy for cardiac device‐related infection. In some patients, however, a hybrid surgical and transvenous approach may be necessary. Methods and Results We present three cases who underwent transvenous lead extraction for an infected CRT‐D system. In all cases the CS lead could not be retrieved transvenously due to extensive fibrosis. The lead was successfully extracted through left minithoracotomy in two patients and midline sternotomy in one patient. Conclusion In cases where the coronary sinus lead shows severe fibrosis, a transvenous approach can be used to free the proximal part of the lead, while the distal adhesions can be removed surgically through a limited thoracic incision.
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Affiliation(s)
- Ashraf Ahmed
- Cardio-Thoracic Department, Electrophysiology and Electrostimulation Laboratory, University of Brescia, Spedali Civili di Brescia, Brescia, Italy.,Cardiology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Gianmarco Arabia
- Cardio-Thoracic Department, Electrophysiology and Electrostimulation Laboratory, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
| | - Luca Bontempi
- Department of Cardiology, Asst Bergamo Est, Bolognini Hospital, Seriate, Bergamo, Italy
| | - Manuel Cerini
- Cardio-Thoracic Department, Electrophysiology and Electrostimulation Laboratory, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
| | - Francesca Salghetti
- Cardio-Thoracic Department, Electrophysiology and Electrostimulation Laboratory, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
| | - Claudio Muneretto
- Department of Cardiac Surgery, Spedali Civili di Brescia, University of Brescia, Brescia, Italy
| | - Gianfranco Mitacchione
- Department of Cardiology, Asst-Fatebenefratelli Sacco, Luigi Sacco University Hospital, Milan, Italy
| | - Antonino Milidoni
- Cardio-Thoracic Department, Electrophysiology and Electrostimulation Laboratory, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
| | - Antonio Curnis
- Cardio-Thoracic Department, Electrophysiology and Electrostimulation Laboratory, University of Brescia, Spedali Civili di Brescia, Brescia, Italy
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