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Percutaneous removal of ventricular pacemaker electrodes using a Dormier basket
1Department of Cardiology, Manchester Royal Infirmary, U.K.
International Journal of Cardiology
|November 1, 1988
Summary
This study shows that a Dormier basket can effectively retrieve permanently placed ventricular endocardial pacemaker electrodes that are otherwise inaccessible. This minimally invasive technique is a safer alternative to surgical removal for pacemaker lead extraction.
Area of Science:
- Cardiology
- Medical Devices
- Minimally Invasive Procedures
Background:
- Permanent ventricular endocardial pacemaker electrodes can become difficult to remove via standard insertion sites.
- Surgical removal poses significant risks and is often a last resort for inaccessible pacemaker leads.
Observation:
- Four cases of permanently implanted ventricular endocardial pacemaker electrodes were successfully retrieved.
- Retrieval was performed via the femoral vein using a Dormier basket.
- No major complications were observed, only transient ventricular arrhythmias.
Findings:
- Percutaneous retrieval using a Dormier basket is an effective method for removing inaccessible ventricular pacemaker electrodes.
- The Dormier basket technique resulted in minimal complications, primarily short-lived ventricular arrhythmias.
Implications:
- This percutaneous approach offers a more acceptable and less invasive alternative to surgical intervention for pacemaker electrode removal.
- The Dormier basket facilitates successful extraction of previously irretrievable pacemaker leads, improving patient outcomes.