Unique Extraction of a Fractured Pacemaker Lead Adhered to the Spermatic Vein

Shogo Sakamoto; Kenji Baba; Shiho Wakasa; Shiori Yanagishita; Moritoshi Irishio; Tomoya Yanagishita; Yuta Yoshisako; Yoshihiro Nakatani; Toru Kataoka; Daiju Fukuda

doi:10.1016/j.jaccas.2023.102160

Unique Extraction of a Fractured Pacemaker Lead Adhered to the Spermatic Vein

JACC Case Rep. 2023 Dec 14;29(2):102160. doi: 10.1016/j.jaccas.2023.102160. eCollection 2024 Jan 17.

Affiliations

¹ Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan.
² Department of Cardiovascular Medicine, Osaka Metropolitan University Graduate School of Medicine, Abeno-ku, Osaka, Japan.

Abstract

Transvenous lead extraction has been increasingly recognized as a safe and effective method of lead extraction, but there are only few references for extracting leads migrating outside the heart. We present a successful extraction of a fractured pacemaker lead from the spermatic vein using several approaches and multiple tools.

Keywords: Needle’s Eye Snare; abandoned lead; ablation catheter; device infection; steerable introducer.

Publication types

Case Reports