Successful transjugular extraction of a lead in front of the anterior scalene muscle by using snare technique

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Abstract

The incidence of cardiovascular implantable electronic device infection is increasing. We report a case of and successful device removal in a 79-year-old man with implantable cardioverter-defibrillator infection. Right phrenic nerve paralysis was evident on chest radiography. The lead was in front of the anterior scalene muscle, close to the left phrenic nerve. Therefore, extraction carried a risk of bilateral phrenic nerve paralysis. The lead was successfully extracted from the right internal jugular vein by using the snare technique. No complications occurred, and the extraction was successful.

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Okada, A., Aizawa, K., Tomita, T., Yoshie, K., Takeuchi, T., Shoda, M., & Ikeda, U. (2015). Successful transjugular extraction of a lead in front of the anterior scalene muscle by using snare technique. Journal of Arrhythmia, 31(4), 249–251. https://doi.org/10.1016/j.joa.2014.12.002

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