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Thorac Cardiovasc Surg Rep 2016; 05(01): 62-64
DOI: 10.1055/s-0035-1566266
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Long-Range Real Migration of Implantable Cardioverter Defibrillator Lead

Andreas Keyser
1   Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
,
Harald Brodoefel
2   Diagnostic Radiology, University Medical Center Regensburg, Regensburg, Germany
,
Christof Schmid
1   Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
› Author Affiliations
Further Information

Publication History

31 July 2015

15 September 2015

Publication Date:
24 November 2015 (online)

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Abstract

The need for pacemaker and implantable cardioverter defibrillator (ICD) lead revisions and extractions is steadily increasing. Despite the lack of representative studies, the risk of lead extraction is frequently considered to be lower than leaving nonfunctional leads in situ.

We report the case of a patient who was referred to our institution for exchange of a malfunctioning ICD lead. The diagnostic work-up revealed a long-segment transmural migration of the ICD lead at the site of the subclavian and innominate vein. Due to the unpredictable risk of vein perforation, we abandoned the extraction procedure.

Keywords

implantable cardioverter defibrillator - lead extraction - transmural migration
 

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