Percutaneous Extraction for Misplacement of Pacemaker Leads Within the Coronary Artery and Left Ventricle

Area of Science:

• Cardiology
• Interventional Cardiology
• Medical Device Management

Background:

• Pacemaker lead misplacement into the coronary arteries is a rare but serious complication.
• Subclavian artery access for pacemaker implantation can increase the risk of coronary artery or ventricular misplacement.
• Timely and safe intervention is crucial to prevent cardiac complications.

Observation:

• A 75-year-old male patient presented with inadvertent pacemaker lead placement within the left coronary artery and left ventricle.
• The leads were accessed via the subclavian artery.
• The patient required a complex extraction procedure.

Findings:

• Percutaneous lead extraction was successfully performed.
• The procedure was conducted under general anesthesia.
• Close collaboration between interventional cardiologists and surgeons ensured patient safety.

Implications:

• Percutaneous lead extraction is a viable and safe option for managing coronary artery pacemaker lead misplacement.
• This case highlights the importance of multidisciplinary collaboration in managing complex cardiac device complications.
• Advanced techniques in lead extraction can improve patient outcomes and reduce morbidity associated with misplaced pacemaker leads.