Atrial septal perforation with Needle's Eye Snare during transvenous lead extraction

Tsuyoshi Isawa; Taku Honda; Kazuhiro Yamaya; Yusuke Hasegawa; Jun Ito

doi:10.1002/joa3.12593

Atrial septal perforation with Needle's Eye Snare during transvenous lead extraction

J Arrhythm. 2021 Jul 11;37(5):1348-1350. doi: 10.1002/joa3.12593. eCollection 2021 Oct.

Authors

Tsuyoshi Isawa¹, Taku Honda¹, Kazuhiro Yamaya², Yusuke Hasegawa³, Jun Ito³

Affiliations

¹ Department of Cardiology Sendai Kousei Hospital Sendai Japan.
² Department of Cardiovascular Surgery Sendai Kousei Hospital Sendai Japan.
³ Department of Anesthesiology and Intensive Care Unit Sendai Kousei Hospital Sendai Japan.

Abstract

Although the Needle's Eye Snare (Cook Medical) has been considered useful for lead extraction, serious complications can occur. We presented a case of atrial septal perforation associated with the Needle's Eye Snare. Our case highlights the importance of not persisting with the Needle's Eye Snare to prevent atrial damage.

Keywords: Needle's Eye Snare; atrial septal perforation; coronary air embolism; femoral approach; lead extraction.