Key result
Transvenous lead extraction using a hand-powered mechanical extraction sheath was successfully performed without postoperative complications in a patient with persistent left superior vena cava.
Why the study?
Persistent left superior vena cava, the most common thoracic venous anomaly, may complicate transvenous lead extraction.
Case Report (n=1)
Demonstrates the feasibility and safety of transvenous lead extraction using a hand-powered mechanical sheath in a patient with persistent left superior vena cava.
Extends sparse case evidence for TLE in persistent left SVC; leaves open whether high-volume centers improve outcomes in complex extractions.
Persistent left superior vena cava, the most common thoracic venous anomaly, may complicate transvenous lead extraction (TLE). We report a successful case of TLE in a patient with persistent left superior vena cava, despite a long dwelling time and several pocket revisions due to pocket infection. The lead was removed via a hand-powered mechanical extraction sheath, and postoperative complications did not occur. Complicated TLE cases may have a better outcome if performed in a high-volume center with experienced specialists.
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Samimi et al. (2022) conducted a case report in Persistent left superior vena cava with abandoned lead and pocket infection (n=1). Transvenous lead extraction via hand-powered mechanical extraction sheath was evaluated on Successful lead removal and postoperative complications. Transvenous lead extraction using a hand-powered mechanical extraction sheath was successfully performed without postoperative complications in a patient with persistent left superior vena cava.
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