J Neurol Surg A Cent Eur Neurosurg 2016; 77(01): 073-076
DOI: 10.1055/s-0034-1396439
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Interventional Laser-assisted Extraction of an Infected Trapped Ventriculoatrial Shunt Based on Techniques for Pacemaker Lead Explantation

Dirk Bastian
1   Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany
,
Klaus Fessele
1   Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany
,
Piotr Bednarski
2   Department of Cardiovascular Surgery, Bern University Hospital, Bern, Switzerland
,
Konrad Göhl
1   Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

11. April 2014

15. September 2014

Publikationsdatum:
27. April 2015 (online)

Abstract

We present a case of successful interventional laser-assisted extraction of an endovascularly trapped long-term implanted ventriculoatrial shunt in a patient with shunt-associated septicemia. This approach is based on modified techniques for explantation of pacemaker leads and might be considered an additional option for extraction of otherwise nonremovable trapped endovascular catheters in experienced centers.

 
  • References

  • 1 Trivedi A, Parsonnet V. Laser-assisted explantation of trapped Port-A-Cath. Pacing Clin Electrophysiol 2000; 23 (12) 2141-2142
  • 2 Bastian D, Fessele K, Bednarski P, Bodenschatz K, Pauschinger M, Göhl K. Laser extraction of a trapped infected port catheter in a child using existing experience from pacemaker and ICD lead removal. Pacing Clin Electrophysiol 2011; 34 (1) e9-e10
  • 3 Byrd CL, Wilkoff BL, Love CJ, Sellers TD, Reiser C. Clinical study of the laser sheath for lead extraction: the total experience in the United States. Pacing Clin Electrophysiol 2002; 25 (5) 804-808
  • 4 Maytin M, Jones SO, Epstein LM. Long-term mortality after transvenous lead extraction. Circ Arrhythm Electrophysiol 2012; 5 (2) 252-257
  • 5 Wazni O, Epstein LM, Carrillo RG , et al. Lead extraction in the contemporary setting: the LExICon study: an observational retrospective study of consecutive laser lead extractions. J Am Coll Cardiol 2010; 55 (6) 579-586