Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series-Reference-Cited by-同舟云学术

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

Published:2022-06-10 Issue:7 Volume:45 Page:861-865
ISSN:0147-8389
Container-title:Pacing and Clinical Electrophysiology
language:en
Short-container-title:Pacing Clinical Electrophis

Author:

Ahmed Ashraf¹²^ORCID,Arabia Gianmarco¹^ORCID,Bontempi Luca³^ORCID,Cerini Manuel¹^ORCID,Salghetti Francesca¹^ORCID,Muneretto Claudio⁴,Mitacchione Gianfranco⁵^ORCID,Milidoni Antonino¹,Curnis Antonio¹

Affiliation:

1. Cardio‐Thoracic Department Electrophysiology and Electrostimulation Laboratory University of Brescia Spedali Civili di Brescia Brescia Italy

2. Cardiology Department Faculty of Medicine Alexandria University Alexandria Egypt

3. Department of Cardiology, Asst Bergamo Est Bolognini Hospital Seriate Bergamo Italy

4. Department of Cardiac Surgery Spedali Civili di Brescia University of Brescia Brescia Italy

5. Department of Cardiology Asst‐Fatebenefratelli Sacco Luigi Sacco University Hospital Milan Italy

Abstract

AbstractBackgroundTransvenous 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 ResultsWe 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.ConclusionIn 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.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.14536

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