Facilitation of transvenous lead extraction using site-specific delivery of electrosurgical energy

Facilitation of transvenous lead extraction using site-specific delivery of electrosurgical energy

Introduction Excimer laser energy is often required to extract chronically indwelling pacemaker and defibrillator leads from the vasculature and myocardium. This technique can be associated with vascular and right ventricular (RV) injuries. We sought to develop a safer, more effective method by applying site-specific delivery of electrosurgical energy (EE). Methods Utilizing a polyacrylamide ...

Long-term mortality after transvenous lead extraction.

BACKGROUND The number of cardiovascular implantable electronic devices has increased progressively and has led to an increased need for transvenous lead extraction (TLE). Multiple reports of TLE procedural outcomes exist; however, data regarding postprocedural and long-term mortality are limited. METHODS AND RESULTS We performed a retrospective study of consecutive patients undergoing TLE at ...

Safety and effectiveness of transvenous lead extraction in elderly patients.

BACKGROUND There is a considerable controversy regarding safety of transvenous lead extraction (TLE) in elderly patients due to their potentially worse general condition, more concomitant diseases, more difficult sedation or analgesia. Moreover, the present experience is not relevant. The aim of the study was the comparison of safety and feasibility of TLE in elderly and middle-aged patients. ...

Successful transvenous lead extraction after a failed open surgical attempt.

An 81-year-old man was referred with an infected cardiac resynchronization therapy defibrillator (CRT-D) system. His initial dualchamber implantable cardioverter-defibrillator (ICD) had been implanted 8 years earlier and upgraded to a CRT-D system 2 years before referral. Epicardial atrial and left ventricular (LV) leads were subsequently added after the endocardial LV lead lost capture. The en...

Transvenous lead extraction: Can it be simple yet safe?