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Successful extraction of right ventricular lead remnants using the FlexCath® steerable sheath.
J Interv Card Electrophysiol. 2016 Jan; 45(1):107-10.JI

Abstract

In patients undergoing laser lead extraction, incomplete or failed lead removal occur in over 3 % of leads. Because the current available tools have limitations in reaching the right ventricle (RV), the procedure becomes challenging when the lead breaks and its fragments remain lodged in the RV. We describe two cases in which the FlexCath® steerable sheath, normally used in cryoballoon catheter ablation for atrial fibrillation, was useful in directing a bioptome to right ventricular lead fragments and thus allowing for complete lead extraction.

Authors+Show Affiliations

Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Sheikh Zayed Tower, 7125Q, Baltimore, MD, 21287, USA.Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Sheikh Zayed Tower, 7125Q, Baltimore, MD, 21287, USA.Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Sheikh Zayed Tower, 7125Q, Baltimore, MD, 21287, USA.Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Sheikh Zayed Tower, 7125Q, Baltimore, MD, 21287, USA.Division of Cardiothoracic Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Sheikh Zayed Tower, 7125Q, Baltimore, MD, 21287, USA. jbrinker@jhmi.edu.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26335103

Citation

Tanawuttiwat, Tanyanan, et al. "Successful Extraction of Right Ventricular Lead Remnants Using the FlexCath® Steerable Sheath." Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing, vol. 45, no. 1, 2016, pp. 107-10.
Tanawuttiwat T, Cheng A, Rickard J, et al. Successful extraction of right ventricular lead remnants using the FlexCath® steerable sheath. J Interv Card Electrophysiol. 2016;45(1):107-10.
Tanawuttiwat, T., Cheng, A., Rickard, J., Chow, G. V., Sciortino, C. M., & Brinker, J. (2016). Successful extraction of right ventricular lead remnants using the FlexCath® steerable sheath. Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing, 45(1), 107-10. https://doi.org/10.1007/s10840-015-0038-9
Tanawuttiwat T, et al. Successful Extraction of Right Ventricular Lead Remnants Using the FlexCath® Steerable Sheath. J Interv Card Electrophysiol. 2016;45(1):107-10. PubMed PMID: 26335103.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful extraction of right ventricular lead remnants using the FlexCath® steerable sheath. AU - Tanawuttiwat,Tanyanan, AU - Cheng,Alan, AU - Rickard,John, AU - Chow,Grant V, AU - Sciortino,Christopher M, AU - Brinker,Jeffrey, Y1 - 2015/09/03/ PY - 2015/03/20/received PY - 2015/07/16/accepted PY - 2015/9/4/entrez PY - 2015/9/4/pubmed PY - 2017/1/11/medline KW - Lead extraction KW - Steerable sheath SP - 107 EP - 10 JF - Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing JO - J Interv Card Electrophysiol VL - 45 IS - 1 N2 - In patients undergoing laser lead extraction, incomplete or failed lead removal occur in over 3 % of leads. Because the current available tools have limitations in reaching the right ventricle (RV), the procedure becomes challenging when the lead breaks and its fragments remain lodged in the RV. We describe two cases in which the FlexCath® steerable sheath, normally used in cryoballoon catheter ablation for atrial fibrillation, was useful in directing a bioptome to right ventricular lead fragments and thus allowing for complete lead extraction. SN - 1572-8595 UR - https://www.unboundmedicine.com/medline/citation/26335103/Successful_extraction_of_right_ventricular_lead_remnants_using_the_FlexCath®_steerable_sheath_ L2 - https://doi.org/10.1007/s10840-015-0038-9 DB - PRIME DP - Unbound Medicine ER -