Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal | Zendy

Cesar Cruz | Zendy; Jonathan Langberg | Zendy; Stamatios Lerakis | Zendy; Ravi Veeraswamy | Zendy; Michael S. Lloyd | Zendy

Open Access

Internal Mammary Arterial Injury from Lead Extraction: A Clinically Subtle yet Important Complication of Implantable Device Removal

Author(s) -

Cesar Cruz,

Jonathan Langberg,

Stamatios Lerakis,

Ravi Veeraswamy,

Michael S. Lloyd

Publication year - 2011

Publication title -

cardiology research and practice

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.437

H-Index - 35

eISSN - 2090-8016

pISSN - 2090-0597

DOI - 10.4061/2011/408640

Subject(s) - medicine , complication , asymptomatic , arteriovenous fistula , percutaneous , surgery , fistula , radiology , auscultation , embolization , left breast , breast cancer , cancer

Percutaneous implantable device extraction has increased in recent years and is associated with small but significant risk. Arteriovenous fistula formation is an uncommon complication of this procedure. We report two cases where lead extraction was complicated by an arteriovenous fistula between the left internal mammary artery and the left brachiocephalic vein. In both cases, the patients were asymptomatic and the presence of a continuous murmur in the left subclavicular region led to the appropriate diagnosis. These were successfully treated with coil embolization. Auscultation around prior extraction sites should be routinely done to aid in the diagnosis of this potentially harmful complication

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