1
|
Sakamoto S, Baba K, Wakasa S, Yanagishita S, Irishio M, Yanagishita T, Yoshisako Y, Nakatani Y, Kataoka T, Fukuda D. Unique Extraction of a Fractured Pacemaker Lead Adhered to the Spermatic Vein. JACC Case Rep 2024; 29:102160. [PMID: 38264307 PMCID: PMC10801801 DOI: 10.1016/j.jaccas.2023.102160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 10/16/2023] [Accepted: 11/15/2023] [Indexed: 01/25/2024]
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.
Collapse
Affiliation(s)
- Shogo Sakamoto
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Kenji Baba
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Shiho Wakasa
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Shiori Yanagishita
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Moritoshi Irishio
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Tomoya Yanagishita
- Department of Cardiovascular Medicine, Osaka Metropolitan University Graduate School of Medicine, Abeno-ku, Osaka, Japan
| | - Yuta Yoshisako
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Yoshihiro Nakatani
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Toru Kataoka
- Department of Cardiovascular Medicine, Bellland General Hospital, Naka-ku, Sakai, Osaka, Japan
| | - Daiju Fukuda
- Department of Cardiovascular Medicine, Osaka Metropolitan University Graduate School of Medicine, Abeno-ku, Osaka, Japan
| |
Collapse
|
2
|
Yanagishita T, Sakamoto S, Yoshisako Y, Sasaki K, Nakatsuji T, Tamura K, Iguchi T, Kataoka T, Izumiya Y, Yoshiyama M. An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management. JACC Case Rep 2020; 2:889-893. [PMID: 34317375 PMCID: PMC8302020 DOI: 10.1016/j.jaccas.2020.04.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 04/15/2020] [Accepted: 04/21/2020] [Indexed: 11/26/2022]
Abstract
Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious complications. We present a case where an inappropriate lead placement resulted in puncturing the lung parenchyma, and successful management of the lead-related pneumothorax through thoracoscopic lead removal and partial lung resection. (Level of Difficulty: Intermediate.)
Collapse
|
3
|
Miyoshi N, Shinomiya K, Tanaka T, Kitaguchi M, Yoshisako Y, Kataoka T, Nagahata T, Uranishi R. [Clipping of a Large Unruptured Basilar Artery Trunk Large Aneurysm Using Rapid Ventricular Pacing:A Case Report]. No Shinkei Geka 2020; 48:329-333. [PMID: 32312934 DOI: 10.11477/mf.1436204186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Neck clipping of basilar trunk aneurysms, particularly those of a large size, is challenging because of its location. Here, we report a case of a basilar artery aneurysm successfully treated with neck clipping using rapid ventricular pacing(RVP). A 67-year-old woman was referred to our hospital for treatment of a large basilar artery aneurysm. Although coiling was considered, we performed neck clipping of this aneurysm because of the expected radical therapeutic effect. The patient was positioned in the right park-bench position, and right suboccipital craniotomy was performed. The aneurysm was mainly approached via the right supracerebellar route. RVP softened the aneurysm for easy dissection and insertion of multiple clips. The postoperative course was uneventful, and she was discharged 1 week later without neurological deficits. RVP should be considered for the treatment of complex aneurysms as adjunctive techniques.
Collapse
Affiliation(s)
- Norio Miyoshi
- Department of Neurosurgery, Bellland General Hospital
| | | | | | | | | | | | | | | |
Collapse
|