A Unique Case of Central Line Fracture Due to Laser Lead Extraction

Arooge Towheed; Alexander Smith; Malik Ghawanmeh; Apostolos Tsimploulis; Cyrus Hadadi; Athanasios Thomaides

doi:10.1016/j.jaccas.2022.08.044

A Unique Case of Central Line Fracture Due to Laser Lead Extraction

JACC Case Rep. 2022 Nov 3;4(24):101633. doi: 10.1016/j.jaccas.2022.08.044. eCollection 2022 Dec 21.

Authors

Arooge Towheed¹, Alexander Smith², Malik Ghawanmeh³, Apostolos Tsimploulis¹, Cyrus Hadadi¹, Athanasios Thomaides¹

Affiliations

¹ Department of Electrophysiology, MedStar Washington Hospital Center, Washington, DC, USA.
² Department of Cardiology, MedStar Washington Hospital Center, Washington, DC, USA.
³ Department of Internal Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Abstract

Transvenous laser-assisted lead extraction is successful, with a low procedural complication rate for a wide range of indications. Here, we report a case of right internal jugular triple-lumen central venous catheter fracture and subsequent embolism to the right pulmonary artery during laser lead extraction that was successfully retrieved with a gooseneck snare. (Level of Difficulty: Advanced.).

Keywords: CVC, central venous catheter; ICD, implantable cardioverter-defibrillator; RV, right ventricle; central venous catheter; implantable cardioverter-defibrillator; laser lead extraction.

Publication types

Case Reports