Lead Extraction and Re-Extractions - Inherent Parts of Permanent Pacing in Children and Young Adults
- 1 March 2022
- journal article
- Published by SciRes Literature LLC in Journal of Biomedical Research & Environmental Sciences
- Vol. 3 (3), 221-226
- https://doi.org/10.37871/jbres1426
Abstract
Children require often replacement of leads even several times. Repeated extraction in this group nay be challenging. We report the case of a 22-year-old man with the first pacemaker implanted in the first year of life, after Transvenous Lead Extraction procedure (TLE) and implantation of a dual-chamber pacemaker in the age of 12 years, who was admitted to the reference center for repeated TLE and to replace the entire pacing system. The presence of complete venous occlusion, lead strain and strong lead-to-lead adherence with calcified connecting tissue scar effected TLE complicity and needed utility of numerous tools and atypical technique and tricks among of them simultaneous extraction of strongly connected each one leads together via one tool showed to be crucial.Keywords
This publication has 33 references indexed in Scilit:
- Pediatric and Adult Congenital Endocardial Lead Extraction or Abandonment Decision (PACELEAD) Survey of Lead ManagementPacing and Clinical Electrophysiology, 2011
- Axillary Versus Infraclavicular Placement for Endocardial Heart Rhythm Devices in Patients With Pediatric and Congenital Heart DiseaseThe American Journal of Cardiology, 2010
- Lead Extraction in Pediatric and Congenital Heart Disease PatientsCirculation: Arrhythmia and Electrophysiology, 2010
- Lead removal in young patients in view of lifelong pacingEP Europace, 2010
- Outcome of Young Patients with Abandoned, Nonfunctional Endocardial LeadsPacing and Clinical Electrophysiology, 2008
- Outcome of single-chamber, ventricular pacemakers with transvenous leads implanted in childrenEP Europace, 2007
- Twenty years of paediatric cardiac pacing: 515 pacemakers and 480 leads implanted in 292 patientsEP Europace, 2006
- Effectiveness of Excimer Laser‐Assisted Pacing and ICD Lead Extraction in Children and Young AdultsPacing and Clinical Electrophysiology, 2006
- Patient, procedural, and hardware factors associated with pacemaker lead failures in pediatrics and congenital heart diseaseHeart Rhythm, 2004
- Actuarial Survival of Transvenous Pacing Leads in a Pediatric PopulationPacing and Clinical Electrophysiology, 1993