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Europace Advance Access published online on May 29, 2009
Europace, doi:10.1093/europace/eup133
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATION

Successful defibrillator lead remnant extraction from right ventricle using a steerable transseptal sheath and a basket retriever

M.J. Pekka Raatikainen1,*, Jukka Perälä2 and Jarmo Lahtinen3

1 Department of Internal Medicine, Division of Cardiology, University of Oulu, PO Box 5000, Oulu 90014, Finland; 2 Department of Radiology, Division of Interventional Radiology, University of Oulu, Oulu, Finland; 3 Department of Surgery, Division of Cardiothoracic and Vascular Surgery, University of Oulu, Oulu, Finland

We present a case of a 73-year-old man with implantable cardioverter-defibrillator pocket erosion and Staphylococcus aureus infection who was admitted to our hospital for lead extraction. During the mechanical extraction procedure, the 12-year-old lead broke and the distal coil was trapped in the right ventricle. After several attempts to grasp the coil using a femoral workstation and various snaring tools failed, a steerable transseptal sheath was placed into the right ventricle via the right femoral vein. The sheath allowed better positioning of the basket retriever and the lead remnant was successfully grasped and extracted with direct traction.

* Corresponding author. Tel: +358 8 315 3550, Fax: +358 315 2127, Email: pekka.raatikainen{at}oulu.fi

Manuscript submitted 19 March 2009. Accepted after revision 29 April 2009.


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