Pitfalls and tips for lumenless lead extraction inserted deep within the ventricular septum
Nobunari Tomura1, Hirokazu Shiraishi1, Masahiro Makino1
1Department of Cardiovascular Medicine, Graduate School of Medical Sciences Kyoto Prefectural University of Medicine Kyoto Japan.
Key Clinical Message:
This case highlights the pitfalls and provides tips for the extraction of deeply implanted lumenless leads, and encourages careful lead selection in the current era of widespread left bundle branch area pacing.
Abstract:
The extraction of cardiovascular implantable electronic device leads is sometimes complicated. We describe a case with difficult but successful extraction of SelectSecure, a lumenless permanent pacemaker lead, implanted deep in the ventricular septum, highlighting its pitfalls and tips in the current era of left bundle branch area pacing.
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