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Arteriovenous fistula after laser-assisted pacemaker lead extraction
Federico Milla1, Charles A Mack, Leonard N Girardi
1Department of Cardiothoracic Surgery, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, New York, USA.
The Annals of Thoracic Surgery
|May 30, 2006
Summary
Arteriovenous fistulas can occur after pacemaker lead extraction. This case highlights a fistula presenting two weeks post-transvenous laser-assisted lead extraction.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Pacemaker lead extraction is a common procedure.
- Complications, though rare, can occur.
Observation:
- A patient developed an arteriovenous fistula.
- Symptoms appeared two weeks after transvenous laser-assisted lead extraction.
Findings:
- Transvenous laser-assisted lead extraction can lead to arteriovenous fistula formation.
- Delayed presentation of this complication is possible.
Implications:
- Awareness of this potential complication is crucial for clinicians.
- Prompt diagnosis and management of arteriovenous fistulas post-lead extraction are necessary.

