Percutaneous extraction of stented device leads

Bryan Baranowski, Oussama Wazni, Roy Chung, David O. Martin, John Rickard, Christine Tanaka-Esposito, Mohammed Bassiouny, Bruce L. Wilkoff

Research output: Contribution to journalArticle

Abstract

BACKGROUND: There are limited published data regarding the percutaneous extraction of device leads jailed by a venous stent. OBJECTIVE: In this study we assessed the feasibility and safety of percutaneous extraction of stented device leads. METHODS: We reviewed our experience percutaneously extracting 7 chronically implanted device leads jailed to the wall of the left innominate and/or subclavian veins by a previously placed stent. RESULTS: All leads were successfully extracted by using a percutaneous approach. Both pacing leads and defibrillator leads were extracted. The oldest pacing lead extracted was 14 years old. The oldest defibrillator lead extracted was 6 years old. Three of the leads were extracted with simple manual traction alone. The 4 remaining leads required a more complex, femoral extraction approach for successful removal. CONCLUSION: In our experience extracting 7 stented device leads, complete percutaneous removal was feasible 100% of the time using a combination of simple manual traction and a femoral approach. No major complications were associated with the extraction procedures.

Original languageEnglish (US)
Pages (from-to)723-727
Number of pages5
JournalHeart Rhythm
Volume9
Issue number5
DOIs
StatePublished - May 1 2012

Keywords

  • Femoral extraction
  • Lead extraction
  • Stented lead

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    Baranowski, B., Wazni, O., Chung, R., Martin, D. O., Rickard, J., Tanaka-Esposito, C., Bassiouny, M., & Wilkoff, B. L. (2012). Percutaneous extraction of stented device leads. Heart Rhythm, 9(5), 723-727. https://doi.org/10.1016/j.hrthm.2011.12.012