Successful transvenous lead extraction of abandoned lead implanted through persistent left superior vena cava

Persistent left superior vena cava, the most common thoracic venous anomaly, may complicate transvenous lead extraction (TLE). We report a successful case of TLE in a patient with persistent left superior vena cava, despite a long dwelling time and several pocket revisions due to pocket infection. T...

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Bibliographic Details
Published inFuture cardiology Vol. 18; no. 3; pp. 185 - 190
Main Authors Samimi, Sahar, Eslami, Masoud, Sardari, Akram, Heidari-Bakavoli, Ali Reza, Mazaherian, Mahdieh, Mollazadeh, Reza
Format Journal Article
LanguageEnglish
Published England Future Medicine Ltd 01.03.2022
Subjects
cardiac implantable electronic device
Defibrillators, Implantable
Device Removal
Humans
infection
Persistent Left Superior Vena Cava
thoracic venous anomaly
transvenous lead extraction
Treatment Outcome
Vena Cava, Superior - abnormalities
Vena Cava, Superior - surgery
infection
thoracic venous anomaly
persistent left superior vena cava
cardiac implantable electronic device
transvenous lead extraction
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Summary:Persistent left superior vena cava, the most common thoracic venous anomaly, may complicate transvenous lead extraction (TLE). We report a successful case of TLE in a patient with persistent left superior vena cava, despite a long dwelling time and several pocket revisions due to pocket infection. The lead was removed via a hand-powered mechanical extraction sheath, and postoperative complications did not occur. Complicated TLE cases may have a better outcome if performed in a high-volume center with experienced specialists.
ISSN:1479-6678
1744-8298
DOI:10.2217/fca-2021-0098