Percutaneous Extraction for Misplacement of Pacemaker Leads Within the Coronary Artery and Left Ventricle

Issei Yoshimoto; Naoya Oketani; Masakazu Ogawa; Shunichi Imamura; Kenta Omure; Hideto Chaen; Masaaki Miyata; Shuichi Hamasaki; Goichi Yotsumoto; Mitsuru Ohishi

doi:10.1016/j.jaccas.2021.08.003

Percutaneous Extraction for Misplacement of Pacemaker Leads Within the Coronary Artery and Left Ventricle

JACC Case Rep. 2021 Nov 17;3(16):1746-1752. doi: 10.1016/j.jaccas.2021.08.003.

Authors

Issei Yoshimoto^{1

2}, Naoya Oketani¹, Masakazu Ogawa^{1

2}, Shunichi Imamura¹, Kenta Omure^{1

2}, Hideto Chaen^{1

2}, Masaaki Miyata^{1

2}, Shuichi Hamasaki^{1

2}, Goichi Yotsumoto³, Mitsuru Ohishi²

Affiliations

¹ Division of Cardiology, Kagoshima City Hospital, Kagoshima, Japan.
² Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
³ Division of Cardiovascular Surgery, Kagoshima City Hospital, Kagoshima, Japan.

Abstract

A 75-year-old man, who underwent inadvertent misplacement of pacemaker leads into the left coronary artery and left ventricle through the subclavian artery, was referred to our hospital. We safely performed percutaneous lead extraction in collaboration with surgeons and with the patient under general anesthesia. (Level of Difficulty: Advanced.).

Keywords: CIED, cardiac implantable electronic device; CT, computed tomography; IVUS, intravascular ultrasound; LMCA, left main coronary artery; LV, left ventricle; OCT, optical coherence tomography; SCA, subclavian artery; TTE, transthoracic echocardiography; cardiac pacemaker; complication; percutaneous coronary intervention.

Publication types

Case Reports