Successful transjugular extraction of a lead in front of the anterior scalene muscle by using snare technique

Abstract The incidence of cardiovascular implantable electronic device infection is increasing. We report a case of and successful device removal in a 79-year-old man with implantable cardioverter-defibrillator infection. Right phrenic nerve paralysis was evident on chest radiography. The lead was i...

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Bibliographic Details
Published inJournal of arrhythmia Vol. 31; no. 4; pp. 249 - 251
Main Authors Okada, Ayako, MD, Aizawa, Kazunori, MD, Tomita, Takeshi, MD, Yoshie, Kouji, MD, Takeuchi, Takahiro, MD, Shoda, Morio, MD, Ikeda, Uichi, MD
Format Journal Article
LanguageEnglish
Published Japan John Wiley & Sons, Inc 01.08.2015
Japanese Heart Rhythm Society
Wiley
Subjects
Ablation
Cardiovascular
Case Report
Catheters
Lasers
Lead extraction
Phrenic nerve paralysis
Snare technique
Tomography
Veins & arteries
Snare technique
Lead extraction
Phrenic nerve paralysis
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Summary:Abstract The incidence of cardiovascular implantable electronic device infection is increasing. We report a case of and successful device removal in a 79-year-old man with implantable cardioverter-defibrillator infection. Right phrenic nerve paralysis was evident on chest radiography. The lead was in front of the anterior scalene muscle, close to the left phrenic nerve. Therefore, extraction carried a risk of bilateral phrenic nerve paralysis. The lead was successfully extracted from the right internal jugular vein by using the snare technique. No complications occurred, and the extraction was successful.
Bibliography:ObjectType-Article-1
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ISSN:1880-4276
1883-2148
DOI:10.1016/j.joa.2014.12.002