From Failure to Success: Lithotripsy Transforms Lead Extraction in a Same-Patient Case.

ABSTRACT:

Introduction

Cardiac implantable electronic device infections often necessitate extraction, which can be complicated by calcified adhesions, leading to increased procedural risk and reduced efficacy. Given these challenges, intravascular lithotripsy (IVL) has been proposed as a tool for lead extraction to aid in overcoming calcification. This report presents the first reported case where shockwave IVL was successfully employed to extract a severely calcified lead system after an initial extraction attempt failed due to extensive calcification.

Clinical background

A 58-year-old woman with a dual-chamber pacemaker and recurrent MSSA bacteremia was found to have extensive calcification around her leads. An initial TLE attempt failed due to extensive calcifications.

Intervent

SUBMITTER: Goldar G 

PROVIDER: S-EPMC12530673 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature