Key result
Mechanical lead extraction and lumenless lead replacement safely reverses tricuspid regurgitation in a small child.
Why the study?
Available data on pacemaker lead extraction in pediatric patients is limited, and the risk of failure and severe complications remains high.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Despite technological advancements in the field of pacemaker lead extraction, available data on pediatric patients is limited, and risk of failure and severe complications remains high. In this report, we present the case of a male patient who, at five months old, had been transvenously implanted with a single-chamber ventricular pacemaker due to complete atrioventricular block. At 7-year of age, the patient was referred to us with growth-related lead tension, severe tricuspid insufficiency, and weak battery. We extracted the lead using the Evolution System and replaced the unit with a dual-chamber pacemaker with a SelectSecure lead. This new system can be used for lead extraction even in low-weight pediatric patients with congenital heart disease. Using a thin, lumenless SelectSecure lead appears to reduce the risk of venous obstruction.
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Yakup Ergül (2015) conducted a case report in Growth-related pacemaker lead tension and severe tricuspid insufficiency (n=1). Transvenous lead extraction using the Evolution System and replacement with a SelectSecure lead was evaluated. Transvenous lead extraction using the Evolution System and replacement with a thin, lumenless SelectSecure lead was safely performed in a 17-kg child, leading to regression of tricuspid insufficiency.
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