Abstract
: We report a successful combined approach of transvenous mechanical pacing lead extraction and stent angioplasty for superior baffle occlusion in a young woman with D-transposition of great artery after Mustard procedure. After having extracted the pacing leads, the baffle was easily stented, thanks to the channel left by the extracted leads. Eventually, a new pacing lead was implanted into the pulmonic ventricle through the stented baffle. Our report demonstrates the safeness and feasibility of a combined interventional approach in avoiding the need for surgery.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Adult
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / etiology
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Aneurysm, False / therapy*
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Angioplasty / instrumentation*
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Arterial Switch Operation / adverse effects*
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Bradycardia / diagnosis
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Bradycardia / physiopathology
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Bradycardia / therapy*
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Cardiac Pacing, Artificial
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Computed Tomography Angiography
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Device Removal*
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Equipment Design
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Female
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Humans
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Pacemaker, Artificial*
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Palliative Care*
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Phlebography / methods
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Radiography, Interventional
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Stents
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Superior Vena Cava Syndrome / diagnostic imaging
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Superior Vena Cava Syndrome / etiology
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Superior Vena Cava Syndrome / therapy*
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Transposition of Great Vessels / diagnostic imaging
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Transposition of Great Vessels / surgery*
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Treatment Outcome
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Vena Cava, Superior* / diagnostic imaging