Journal Article

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

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 5, issue 2, pages 185-187
Published in print April 2003 | ISSN: 1099-5129
Published online April 2003 | e-ISSN: 1532-2092 | DOI: http://dx.doi.org/10.1053/eupc.2002.0293
Unusual extraction of an active fixation ventricular pacing lead with outer coil fracture in a child

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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A previously unpublished method was performed to retract the helix and the lead.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.

Keywords: Pacing in children; screw-in electrode; pacing lead extraction; subclavian view approach for transvenous pacing

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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