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Instantaneous lead entrapment: successful percutaneous removal using the cook workstation
K Barakat1, N M Robinson, D S Dymond
1Department of Cardiology, Royal Hospitals Trust, London, United Kingdom.
Pacing and Clinical Electrophysiology : PACE
|May 19, 1998
Summary
A transvenous endocardial lead became stuck near the tricuspid valve. This lead entrapment was successfully treated using a percutaneous removal technique via the right femoral vein.
Area of Science:
- Cardiology
- Medical Device Technology
Background:
- Transvenous endocardial lead placement is a common procedure for cardiac electronic devices.
- Complications, though rare, can arise during lead implantation and removal.
Observation:
- An unusual case of lead entrapment near the tricuspid valve apparatus occurred after transvenous endocardial lead placement.
- Initial attempts at lead removal were unsuccessful due to the entrapment.
Findings:
- The entrapped lead was successfully removed percutaneously.
- The removal procedure was performed via the right femoral vein approach.
Implications:
- This case highlights a rare complication of transvenous lead placement.
- Percutaneous removal is a viable strategy for managing lead entrapment near the tricuspid valve.
- Understanding such complications is crucial for procedural safety and patient outcomes.
