Oesophageal perforation: an unexpected complication during extraction of a pacing lead. A case report.

ABSTRACT:

Background

Peri-procedural transoesophageal echocardiography (TOE) is important in monitoring and minimizing major complications during pacing lead extraction. It is a widely accepted precautionary measure, especially in extractions considered to be higher risk. Pacing lead extraction may be challenging, and it is associated with significant risk of major bleeding from vascular trauma.

Case summary

We present a case of an 87-year-old woman who had an extraction of a ventricular pacing lead that had perforated to an extra-cardiac location, most likely to the left pleural space. Peri-procedural TOE was used as a precaution. The entire pacing lead was successfully extracted with gentle traction using standard equipment (mechanical technique). Extraction was followed by developm

SUBMITTER: Leung LWM 

PROVIDER: S-EPMC6439371 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature