Inadvertent Transarterial Lead Placement in the Left Ventricle and Aortic Cusp: Percutaneous Lead Removal with Carotid Embolic Protection and Stent Graft Placement
Key result
Percutaneous lead removal with carotid embolic protection and stenting safely resolves 2 inadvertent transarterial placements.
- n=2
Why the study?
Does percutaneous lead removal with carotid embolic protection and stent graft placement safely treat inadvertent transarterial lead placement?
Population
2 patients with inadvertent transarterial lead placement in the left ventricle and/or aortic cusp
Design
Case_series
Follow-up
Postoperative clinical course
Authors
Discussion
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Member takes
Implication
Case reports suggest procedural feasibility with embolic protection; hypothesis-generating and should not yet change practice.
Study Design
Type
Case Report (n=2)
Structured PICO
Does percutaneous lead removal with carotid embolic protection and stent graft placement safely treat inadvertent transarterial lead placement?
P
Population
2 patients with inadvertent transarterial lead placement in the left ventricle or aorta who underwent percutaneous lead removal.
I
Intervention
Percutaneous lead removal via the left subclavian artery with concurrent carotid embolic protection (distal embolic filter wires) followed by covered stent graft placement in the subclavian artery
O
Outcome
Procedural success and safety (absence of embolic phenomena and uneventful postoperative clinical course)safety
Transarterial percutaneous lead removal can be safely performed using embolic filter protection of the cerebral circulation and stent graft placement at the arterial entry site.
Cite This Study
Kosmidou et al. (2012) conducted a case report in Inadvertent transarterial lead placement in the left ventricle and aortic cusp (n=2). Percutaneous lead removal with carotid embolic protection and stent graft placement was evaluated on Procedural success and embolic phenomena. Percutaneous lead removal with carotid embolic protection and stent graft placement was successfully performed in 2 patients with inadvertent transarterial lead placement, with no embolic phenomena.