6533b858fe1ef96bd12b6d9d

RESEARCH PRODUCT

Jugular pacing lead extraction with laser sheath: a case report.

Marco RacheliManuel CeriniAlessandro LipariAntonio CurnisMohamed A. MetwallyNicola BerlinghieriCarlo PagnoniGiuseppe CoppolaLivio Dei CasLuca Bontempi

subject

medicine.medical_specialtyPacemaker ArtificialProsthesis-Related Infectionslaw.inventionlawPhysiology (medical)Jugular veinlead extracion laser sheatMedicineHumansLead (electronics)Device RemovalEndocarditisbusiness.industryLasersCardiac Pacing ArtificialMiddle AgedStaphylococcal InfectionsLaserSettore MED/11 - Malattie Dell'Apparato CardiovascolareSurgeryCardiothoracic surgeryFluoroscopyFemaleJugular VeinsCardiology and Cardiovascular MedicinebusinessLead extraction

description

Over the past 20 years, the number of patients with pacemakers (PM) or implantable cardioverter defibrillators has risen markedly; consequently, an increasing number of lead-removal procedures have become necessary. A 64-year-old woman presenting with an infected device pocket and positive bacterial cultures ( Staphylococcus aureus ) was admitted to our department for lead removal; in 1991, she underwent VVI PM implantation for atrioventricular II degree Mobitz 1 block, and a unipolar lead was introduced via the left jugular vein. The procedure was performed in our Electrophysiology Lab with a cardiac surgeon on standby, using an excimer laser system emitting the energy at the tip of a flexible, fibre-optic 12 F sheath, developed by Spectranetics, Inc., Colorado Springs, CO, USA.

10.1093/europace/eup417https://pubmed.ncbi.nlm.nih.gov/20047926