Key result
A modified transvenous mechanical dilatation technique successfully removed a chronically implanted active-fixation coronary sinus pacing lead in a 77-year-old patient with a systemic infection.
Case Report (n=1)
A modified transvenous mechanical dilatation technique can be successfully used to extract chronically implanted active-fixation coronary sinus pacing leads when manual traction fails.
We described a 77-year-old patient, previously implanted with a dual-chamber pacemaker later upgraded to a cardiac resynchronization therapy-defibrillator (CRT-D) device with an active-fixation coronary sinus pacing lead, who underwent a transvenous mechanical extraction procedure for a device-related systemic infection. All leads were removed successfully with a transvenous approach. With regard to the coronary sinus (CS) lead (Attain 4195 StarFix, Medtronic Inc., Minneapolis, MN, USA), manual traction was ineffective and extraction required long and challenging mechanical dilatation up to distal CS using either conventional sheaths or modified CS lead delivery.
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Bongiorni et al. (2010) conducted a case report in Device-related systemic infection (n=1). Transvenous mechanical extraction procedure with modified mechanical dilatation was evaluated on Successful removal of all leads. A modified transvenous mechanical dilatation technique successfully removed a chronically implanted active-fixation coronary sinus pacing lead in a 77-year-old patient with a systemic infection.
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