Journal article
Extraction of pacemaker and implantable cardioverter defibrillator leads
Current opinion in cardiology, v 14(1), pp 44-44
Jan 1999
PMID: 9932207
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The common reasons for removal of pacing and defibrillator leads are infection, malfunction, or design defects such as fracture of J wires in Teletronics Accufix leads (Telectronics Pacing, Englewood, CO), which impose considerable risk for cardiac morbidity and mortality. Chronically implanted leads are fixed to the myocardium by fibrous tissue. Fibrous scar tissue may also encase the lead along its course. Furthermore, fragility of the lead and its tendency to break when extraction force is applied to overcome resistance imparted by the scar tissue add to the challenge of lead extraction. Thus, the extraction of chronically implanted leads is an important issue. Until a few years ago, the only methods available for the removal of chronically implanted leads were traction on the proximal segment of the lead and cardiac surgery. New techniques were developed to extract the leads by a transvenous approach using locking stylets, sheaths, snares, and retrieval baskets. Lead extraction using intravascular countertraction methods has since evolved as a specialty of its own. Progress has also been made in developing other system, such as Excimer laser energy for lead extraction. In this article, we discuss principles, techniques, and experience with these methods of extraction of chronic pacemaker and defibrillator leads.
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Details
- Title
- Extraction of pacemaker and implantable cardioverter defibrillator leads
- Creators
- Bharat Kantharia - Hahnemann University HospitalSteven Kutalek
- Publication Details
- Current opinion in cardiology, v 14(1), pp 44-44
- Publisher
- Lippincott Williams & Wilkins, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000078890900008
- Scopus ID
- 2-s2.0-0032983455
- Other Identifier
- 991019339564404721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems