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Sakamoto S, Baba K, Wakasa S, Yanagishita S, Irishio M, Yanagishita T, Yoshisako Y, Nakatani Y, Kataoka T, Fukuda D. Unique Extraction of a Fractured Pacemaker Lead Adhered to the Spermatic Vein. JACC Case Rep 2024; 29:102160. [PMID: 38264307 PMCID: PMC10801801 DOI: 10.1016/j.jaccas.2023.102160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 10/16/2023] [Accepted: 11/15/2023] [Indexed: 01/25/2024]
Abstract
Transvenous lead extraction has been increasingly recognized as a safe and effective method of lead extraction, but there are only few references for extracting leads migrating outside the heart. We present a successful extraction of a fractured pacemaker lead from the spermatic vein using several approaches and multiple tools.
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Affiliation(s)
- Shogo Sakamoto
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Kenji Baba
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Shiho Wakasa
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Shiori Yanagishita
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Moritoshi Irishio
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Tomoya Yanagishita
- Department of Cardiovascular Medicine, Osaka Metropolitan University Graduate School of Medicine, Abeno-ku, Osaka, Japan
| | - Yuta Yoshisako
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Yoshihiro Nakatani
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Toru Kataoka
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Daiju Fukuda
- Department of Cardiovascular Medicine, Osaka Metropolitan University Graduate School of Medicine, Abeno-ku, Osaka, Japan
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Itoh T, Kimura M, Ishida Y, Tomita H. In situ needle deflection technique using a steerable introducer for site-selective radiofrequency transseptal puncture. J Arrhythm 2019; 35:565-567. [PMID: 31293711 PMCID: PMC6595321 DOI: 10.1002/joa3.12191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 03/28/2019] [Accepted: 04/08/2019] [Indexed: 12/04/2022] Open
Abstract
Transseptal puncture (TP) is a prerequisite for gaining access to the left atrium. Selection of a puncture site in the fossa ovalis can impact on catheter ablation of left atrial arrhythmias. However, TP sometimes requires a needle shape modification in vitro, which can make it difficult to accomplish site-selective TP. This report illustrated a novel needle deflection technique in vivo using a steerable introducer. This in situ needle deflection technique is useful in excluding the needle shape modification in vitro and achieving fine adjustment of the needle curve in vivo, thus contributing to site-selective radiofrequency TP and reducing procedure time.
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Affiliation(s)
- Taihei Itoh
- Department of CardiologyHirosaki University Graduate School of MedicineHirosaki, AomoriJapan
| | - Masaomi Kimura
- Department of CardiologyHirosaki University Graduate School of MedicineHirosaki, AomoriJapan
| | - Yuji Ishida
- Department of CardiologyHirosaki University Graduate School of MedicineHirosaki, AomoriJapan
| | - Hirofumi Tomita
- Department of CardiologyHirosaki University Graduate School of MedicineHirosaki, AomoriJapan
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