Why the study?
Laser lead extraction is a well-established method for removing leads, but experience with postoperative venous thrombosis warranted documentation.
Percutaneous laser lead extraction can be complicated by symptomatic upper extremity deep venous occlusion, presenting as painful arm swelling.
Symptomatic axillo-subclavian thrombosis may complicate laser lead extraction; case report leaves open incidence and need for prophylaxis.
INTRODUCTION: Laser lead extraction is a well-established method for removing unwanted leads with low morbidity and mortality. In this small series of cases, we documented our experience with venous thrombosis after laser lead extraction. METHODS: Retrospective data of patients who underwent laser lead extraction with postoperative axillo-subclavian vein thrombosis between May 2010 and January 2020 were analyzed. Demographic, operative, clinical, and follow-up characteristics of those patients were collected from our medical database. RESULTS: Six patients underwent percutaneous laser lead extraction. Mean age of the patients was 64±7 years. And four of them were male. A total of 11 leads with a mean age of 92±43.8 months were extracted. Patients presented with painful arm swelling postoperatively. CONCLUSION: Laser lead extraction may lead to symptomatic upper extremity deep venous occlusion.
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Al‐Maisary et al. (2023) studied this question.
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