Work

The hidden perils of laser lead extractions: Managing internal mammary artery perforation

Year: 2025

Type: article

Abstract: Transvenous lead extraction for cardiac implantable electronic devices remains a high-risk procedure among profound evolutions of extraction techniques. Laser-assisted transvenous lead extraction is required with prolonged lead dwell times or failed mechanical extraction. Tertiary subspecialty support is crucial to mediate the small but significant risk of cardiovascular morbidity and mortality. We report a case of laser lead extraction complicated by internal mammary artery perforation and fistulization, salvaged with endovascular intervention. Multidisciplinary subspecialty support, skills, and infrastructure should be used for all these extractions.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101885

Authors: Wingtung M. Ma, Thomas M. Warburton, Alexandra Sim, Alasdair Watson, Rajesh Subbiah, David Evans

Institutions: UNSW Sydney, St Vincent's Hospital Sydney

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250