A hybrid approach combining powered sheath extraction and surgical cut-down can be successfully used for transvenous lead extraction in patients with an ipsilateral haemodialysis fistula.
Supports feasibility of hybrid extraction with ipsilateral fistula; hypothesis-generating and should not change practice.
Haemodialysis (HD) patients are at increased risk of vascular access complications with device therapy. We report a case of transvenous defibrillator lead extraction from the ipsilateral side as an HD fistula. The procedure was successfully performed using a hybrid approach, with extraction of the lead with a powered sheath, and surgical cut-down and closure of the subclavian vein defect.
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Scott et al. (2010) studied this question.
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