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The Long-Term Outcomes of Inactive Pacemaker Lead Abandonment in Children and Dramatic Observation of Complications
Agnieszka Nowosielecka1, Dorota Nowosielecka2,3, Wojciech Jacheć4
1Department of Internal Medicine and Geriatrics, The A. Falkiewicz Specialist Hospital, Wrocław, Poland.
Insights
Transvenous lead extraction in children is risky. A conservative approach may lead to complications. This case study explores an alternative strategy for pacemaker lead management.
Area of Science:
- Cardiology
- Pediatric Electrophysiology
Background:
- Transvenous lead extraction in children carries a high risk of serious complications.
- Conservative management of pacemaker leads in pediatric patients can result in secondary issues like tricuspid valve dysfunction and venous obstruction.
Abstract:
Transvenous extraction of the leads in children is associated with a higher risk of serious complications, that is why it is reluctantly performed. Unfortunately, this conservative approach has been associated with secondary complications (tricuspid valve dysfunction and bilateral venous obstruction), adverse events during lead removal procedure and recanalization and stenting of chest veins. We present a case of a 27-year-old female with a pacemaker and insertion of two new leads on the opposite side of the chest leaving the old ones in place.
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