Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series

BACKGROUND: Transvenous lead extraction is the standard therapy for cardiac device‐related infection. In some patients, however, a hybrid surgical and transvenous approach may be necessary. METHODS AND RESULTS: We present three cases who underwent transvenous lead extraction for an infected CRT‐D sy...

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Autores principales: Ahmed, Ashraf, Arabia, Gianmarco, Bontempi, Luca, Cerini, Manuel, Salghetti, Francesca, Muneretto, Claudio, Mitacchione, Gianfranco, Milidoni, Antonino, Curnis, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Devices
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541447/
https://www.ncbi.nlm.nih.gov/pubmed/35596733
http://dx.doi.org/10.1111/pace.14536
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author Ahmed, Ashraf
Arabia, Gianmarco
Bontempi, Luca
Cerini, Manuel
Salghetti, Francesca
Muneretto, Claudio
Mitacchione, Gianfranco
Milidoni, Antonino
Curnis, Antonio
author_facet Ahmed, Ashraf
Arabia, Gianmarco
Bontempi, Luca
Cerini, Manuel
Salghetti, Francesca
Muneretto, Claudio
Mitacchione, Gianfranco
Milidoni, Antonino
Curnis, Antonio
author_sort Ahmed, Ashraf
collection PubMed
description BACKGROUND: Transvenous lead extraction is the standard therapy for cardiac device‐related infection. In some patients, however, a hybrid surgical and transvenous approach may be necessary. METHODS AND RESULTS: We present three cases who underwent transvenous lead extraction for an infected CRT‐D system. In all cases the CS lead could not be retrieved transvenously due to extensive fibrosis. The lead was successfully extracted through left minithoracotomy in two patients and midline sternotomy in one patient. CONCLUSION: In cases where the coronary sinus lead shows severe fibrosis, a transvenous approach can be used to free the proximal part of the lead, while the distal adhesions can be removed surgically through a limited thoracic incision.
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spelling pubmed-95414472022-10-14 Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series Ahmed, Ashraf Arabia, Gianmarco Bontempi, Luca Cerini, Manuel Salghetti, Francesca Muneretto, Claudio Mitacchione, Gianfranco Milidoni, Antonino Curnis, Antonio Pacing Clin Electrophysiol Devices BACKGROUND: Transvenous lead extraction is the standard therapy for cardiac device‐related infection. In some patients, however, a hybrid surgical and transvenous approach may be necessary. METHODS AND RESULTS: We present three cases who underwent transvenous lead extraction for an infected CRT‐D system. In all cases the CS lead could not be retrieved transvenously due to extensive fibrosis. The lead was successfully extracted through left minithoracotomy in two patients and midline sternotomy in one patient. CONCLUSION: In cases where the coronary sinus lead shows severe fibrosis, a transvenous approach can be used to free the proximal part of the lead, while the distal adhesions can be removed surgically through a limited thoracic incision. John Wiley and Sons Inc. 2022-06-10 2022-07 /pmc/articles/PMC9541447/ /pubmed/35596733 http://dx.doi.org/10.1111/pace.14536 Text en © 2022 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Devices
Ahmed, Ashraf
Arabia, Gianmarco
Bontempi, Luca
Cerini, Manuel
Salghetti, Francesca
Muneretto, Claudio
Mitacchione, Gianfranco
Milidoni, Antonino
Curnis, Antonio
Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series
title Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series
title_full Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series
title_fullStr Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series
title_full_unstemmed Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series
title_short Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series
title_sort hybrid transvenous and surgical approach for the extraction of coronary sinus leads: a case series
topic Devices
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541447/
https://www.ncbi.nlm.nih.gov/pubmed/35596733
http://dx.doi.org/10.1111/pace.14536
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