期刊
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
卷 44, 期 8, 页码 1464-1465出版社
WILEY
DOI: 10.1111/pace.14227
关键词
His bundle pacing; mechanical transvenous lead extraction
Permanent His bundle pacing (HBP) has become increasingly popular in clinical practice in recent years, but there are limited reports on the extraction of the commonly used lumenless pacing lead. Concerns remain about possible injury to the conduction system during extraction and the lack of a lumen for placing a locking stylet during transvenous lead extraction (TLE).
Permanent His bundle pacing (HBP) has rapidly been adapted into clinical practice in recent years as a physiologic pacing. The 3830 (Medtronic Inc, MN, USA) pacing lead commonly used for HBP is lumenless, and there are limited reports available on extraction of this lead. No data exists on transvenous lead extraction (TLE) of very old HBP lead. Concerns remain about injury to the conduction system during extraction and the lack of lumen for placing a locking stylet for TLE when powered sheaths are required. We reported a unique case of TLE of very old HBP lead (14 years and 3 months) and other two leads, such as passive atrial and passive right ventricular apex backup.
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