Occlusion balloon during transvenous lead extraction-Lessons learned from a case series

Abstract Funding Acknowledgements Type of funding sources: None. Background Lead-extraction for infected or dysfunctional electrodes are these days often performed with a high success rate complete lead removal. The risk major complications ranges between 1-5 %. most catastrophic complication is tear the superior vena cava mortality despite urgent cardiothoracic surgical intervention. use transvenously placed occlusion balloon has been shown to be associated reduced in cases where an SVC occurred (reference 1). However, there have reports showing clot formation on surface balloon. Purpose To investigate feasibility and safety during extraction. Methods Prospective case series 10 patients occlusion-balloon transvenous extraction was used prophylactically. Occurrence clots device, as result inflated well handling were recorded documented. Results In this prospective analysis, staged prophylactically undergoing device could successfully all without any complications. After correct positioning (figure 1), deflated either at level (30 %), within sheath (40 %) IVC (30%) procedure. total dwell time 18.3 10.3 min. successful leads, readvanced over wire using fluoroscopy (final acceptable position then reconfirmed via fluoroscopy). No observed TEE procedure nor after removal no injury cardiac venous structures found. one patient suffering from severe heart failure, inflation resulted relevant decrease preload drop blood pressure which hemodynamic values recovered completely deflation. Conclusions Transvenously safe according series. Importantly, likely due much shorter dwelling compared previous reports. Furthermore, repositioning same feasible. severly impaired function however, potential can transient function.