Key result
Percutaneous transcatheter repositioning successfully corrected dislodged passive fixation J-shaped atrial leads in 3 patients, maintaining stability of pacing and sensing parameters at 6 months.
Why the study?
Does percutaneous transcatheter repositioning via the femoral vein safely and effectively reposition displaced permanent pacemaker or ICD leads in patients with dislodgement?
Case Report (n=3)
Does percutaneous transcatheter repositioning via the femoral vein safely and effectively reposition displaced permanent pacemaker or ICD leads in patients with dislodgement?
Percutaneous transcatheter repositioning via the femoral vein is a feasible and safe alternative to surgical revision for displaced passive fixation J-shaped atrial leads.
In three patients, two with a pacemaker and one with an implantable cardioverter defibrillator, hospitalized for dislodgement of a passive fixation J-shaped atrial lead, a percutaneous transcatheter repositioning was successfully attempted thus avoiding surgical revision. This procedure, performed through the femoral vein, is easy and safe. The stability of the lead position and of the pacing and sensing parameters was confirmed 1 and 6 months after the transcatheter repositioning.
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Favale et al. (1999) conducted a case report in Dislodgement of a passive fixation J-shaped atrial lead (n=3). Percutaneous transcatheter repositioning was evaluated on Successful repositioning avoiding surgical revision and stability of lead position and pacing/sensing parameters. Percutaneous transcatheter repositioning successfully corrected dislodged passive fixation J-shaped atrial leads in 3 patients, maintaining stability of pacing and sensing parameters at 6 months.
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