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Extraction of a Chronically Infected Endocardial Screw‐in Pacemaker Lead by Pigtail Catheter and Wire Loop Via the Femoral Vein
Author(s) -
MAISCH BERNHARD,
ERTL GEORG,
KULKE HANS
Publication year - 1985
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1985.tb05754.x
Subject(s) - medicine , lead (geology) , femoral vein , catheter , pigtail , loop (graph theory) , vein , transvenous pacing , surgery , anatomy , cardiology , physics , mathematics , combinatorics , geomorphology , optical fiber , optics , geology
A 71‐year‐old woman was admitted after partial removal of an infected pacemaker system. Septicemia and subcJavian vein thromhosis were present. With com bined use of a pigtail catheter and a wire loop originally developed for endoscopic polypedomy, the infected catheter was pulled into the inferior vena cava. Counterclockwise rotation of the pigtail catheter following its fixation to the electrode by the wire loop ailowed removal of the tip of the endocardial screw‐in electrode from the myocardium and its extraction. Open heart surgery was avoided and the source of chronic infection was removed.