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Europace 2003 5(2):185-187; doi:10.1053/eupc.2002.0293
© 2003 by European Society of Cardiology
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Unusual extraction of an active fixation ventricular pacing lead with outer coil fracture in a child

T. Karagoz, A. Celiker, O. Hallioglu and S. Ozme

Paediatric Cardiology Unit, Hacettepe University Faculty of Medicine Sihhiye, Ankara, 06100, Turkey

AIM: In this report we describe an asymptomatic paced child with outer coil fracture of the bipolar screw-in steroid eluting ventricular lead without insulation defect, loss of ventricular capture and unexpected increase in lead impedance in the bipolar VVIR pace configuration.

METHOD AND RESULT: A previously unpublished method was performed to retract the helix and the lead. As a result, the fractured lead was successfully retrieved.

CONCLUSION: We suggest that, this unusual extraction method can be tried as an alternative approach in the removal of an active fixation ventricular pacing lead with impaired mechanical function possibly due to fracture.

Key Words: Pacing in children, screw-in electrode, pacing lead extraction, subclavian view approach for transvenous pacing

Correspondence: Prof. Dr Alpay Celiker, M.D., Paediatric Cardiology Unit, Ihsan Dogramaci Children's Hospital, Hacettepe University, Sihhiye, Ankara 06100, Turkey. Tel.: +90 (312) 305 11 57; Fax: +90 (312) 309 02 20; E-mail: alpayceliker{at}hotmail.com


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H. Olgun, T. Karagoz, A. Celiker, and N. Ceviz
Patient- and lead-related factors affecting lead fracture in children with transvenous permanent pacemaker
Europace, July 1, 2008; 10(7): 844 - 847.
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