First experience in quadripolar active fixation coronary sinus lead extraction: a case report.

ABSTRACT:

Background

The Attain Stability Quadripolar 4798 lead is a relatively new quadripolar active fixation coronary sinus (CS) lead. No cases of extraction of a chronically implanted 4798 lead have been published to date.

Case summary

A 52-year-old man with a history of previous cardiac resynchronization therapy pacemaker (CRT-P) insertion and atrioventricular node ablation presented to our institution with a pocket infection 69 weeks after implantation. Directed intravenous antibiotic therapy was commenced and an extraction was performed the following day. Extraction of the right atrial and right ventricular leads was simple and achieved with gentle manual traction. Extraction of the CS lead was more difficult. Significant traction was required due to the formation of adhesions

SUBMITTER: Guella E 

PROVIDER: S-EPMC7780495 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature