Key result
Percutaneous push-pull technique successfully removes misplaced arterial lead and seals vessel, avoiding vascular surgery.
Why the study?
Inadvertent subclavian arterial puncture and lead placement to the left ventricle during cardiac resynchronization therapy require effective percutaneous repair techniques to avoid vascular surgery.
Comparison
Percutaneous push-pull technique and arterial-closure device vs vascular surgical procedure
Design
Case report
Authors
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May offer a nonsurgical option for inadvertent arterial leads; hypothesis-generating and requires prospective validation before practice change.
Case Report (n=1)
A percutaneous 'push-pull' technique combined with an arterial-closure device can successfully manage inadvertent arterial lead placement during CRT, avoiding the need for open vascular surgery.
Ullah et al. (2010) conducted a case report in Inadvertent subclavian arterial puncture and lead placement during cardiac resynchronization therapy (n=1). Percutaneous 'push-pull' technique and arterial-closure device was evaluated on Successful removal of the lead and sealing of the artery without vascular surgery. A percutaneous 'push-pull' technique successfully allowed removal of an inadvertently placed arterial lead and sealing of the artery, avoiding the need for vascular surgery.
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