Key result
Endovascular retrieval of an embolized pacing electrode from the pulmonary artery using a bioptome was demonstrated to be a feasible and safe technique.
Why the study?
Is endovascular retrieval using a bioptome feasible and safe for removing an embolized pacing electrode from the pulmonary artery?
Case Report
Is endovascular retrieval using a bioptome feasible and safe for removing an embolized pacing electrode from the pulmonary artery?
Endovascular retrieval using a bioptome offers a feasible and safe alternative to conservative management for embolized pacing electrodes in the pulmonary artery.
Answers are grounded in this paper and cite their sources.
May support bioptome retrieval in select cases; hypothesis-generating and should not yet change practice.
Fragmented lead embolization is a rare but serious complication of lead extraction. The most common site for distal embolization is the pulmonary artery. In this location, clinical presentation can be severe and the removal of the lead fragment can be challenging. For this reason most centres opt for a conservative approach. We describe the use of a bioptome to retrieve a lead fragment from the pulmonary artery. We demonstrate that this endovascular technique is feasible and safe.
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Amado et al. (2012) conducted a case report in Fragmented lead embolization in the pulmonary artery. Endovascular retrieval using a bioptome was evaluated on Feasibility and safety. Endovascular retrieval of an embolized pacing electrode from the pulmonary artery using a bioptome was demonstrated to be a feasible and safe technique.
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