open access

Vol 70, No 3 (2012)
Invasive electrophysiology
Published online: 2012-03-19
Submitted: 2012-12-28
Get Citation

Breakage of extracted leads: another management option

Andrzej Kutarski, Radosław Pietura, Marek Czajkowski
Kardiol Pol 2012;70(3):307-312.

open access

Vol 70, No 3 (2012)
Invasive electrophysiology
Published online: 2012-03-19
Submitted: 2012-12-28

Abstract

Extracted lead breakage is a well-known technical complication of lead extraction. If the remaining fragment is longer than a few cm, it should be removed. The femoral or jugular approach, with different tools, is used. We describe the utility of the extracted lead venous entry approach as the optional solution in six patients. The role of the shape of the utilised sheath and the presence of venous entry valve and favourable specific properties of basket catheters are discussed, and also the utility of a repeated Byrd dilator.

Abstract

Extracted lead breakage is a well-known technical complication of lead extraction. If the remaining fragment is longer than a few cm, it should be removed. The femoral or jugular approach, with different tools, is used. We describe the utility of the extracted lead venous entry approach as the optional solution in six patients. The role of the shape of the utilised sheath and the presence of venous entry valve and favourable specific properties of basket catheters are discussed, and also the utility of a repeated Byrd dilator.
Get Citation

Keywords

extracted lead breakage; basket catheter usability; subclavian approach

About this article
Title

Breakage of extracted leads: another management option

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 3 (2012)

Pages

307-312

Published online

2012-03-19

Bibliographic record

Kardiol Pol 2012;70(3):307-312.

Keywords

extracted lead breakage
basket catheter usability
subclavian approach

Authors

Andrzej Kutarski
Radosław Pietura
Marek Czajkowski

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