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Retrieval of Pacemaker Lead Tip Embolized into the Distal Pulmonary Arterial Bed during Extraction Procedure
Author(s) -
GOLZIO PIER GIORGIO,
BONGIORNI MARIA GRAZIA,
GIUGGIA MARCO,
VINCI MELISSA,
GAZZERA CARLO,
BREATTA ANDREA DORIGUZZI
Publication year - 2007
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.1540-8159.2007.00907.x
Subject(s) - medicine , pulmonary artery , lead (geology) , implantable cardioverter defibrillator , radiology , cardiology , foreign body , surgery , geomorphology , geology
A patient required lead extraction of a dual chamber implantable cardioverter defibrillator system for a chronic pocket infection. Using a right subclavian approach, the right ventricular leads were removed by dilation/counter traction. During the procedure, the tip of the atrial lead was cut and, while the body of the lead was extracted, the tip embolized into a distal branch of the right pulmonary artery. Despite its distal location, we were able to extract the lead tip by an Amplatz goose neck snare kit for intravascular foreign body retrieval, commonly used by interventional radiologists, in cooperation with our radiology staff.