Percutaneous extraction of transvenous permanent pacemaker/defibrillator leads.
Title | Percutaneous extraction of transvenous permanent pacemaker/defibrillator leads. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Paraskevaidis, S., Konstantinou D., Vassilikos V., Theofilogiannakos E., Mantziari L., Megarisiotou A., Galitsianos I., & Karvounis C. |
Journal | Biomed Res Int |
Volume | 2014 |
Pagination | 949785 |
Date Published | 2014 |
ISSN | 2314-6141 |
Keywords | Adult, Aged, Aged, 80 and over, Defibrillators, Device Removal, Electrodes, Female, Humans, Male, Middle Aged, Pacemaker, Artificial |
Abstract | BACKGROUND: Widespread use of cardiovascular implantable electronic devices has inevitably increased the need for lead revision/replacement. We report our experience in percutaneous extraction of transvenous permanent pacemaker/defibrillator leads.METHODS: Thirty-six patients admitted to our centre from September 2005 through October 2012 for percutaneous lead extraction were included. Lead removal was attempted using Spectranetics traction-type system (Spectranetics Corp., Colorado, CO, USA) and VascoExtor countertraction-type system (Vascomed GmbH, Weil am Rhein, Germany).RESULTS: Lead extraction was attempted in 59 leads from 36 patients (27 men), mean ± SD age 61 ± 5 years, with permanent pacemaker (n = 25), defibrillator (n = 8), or cardiac resynchronisation therapy (n = 3) with a mean ± SD implant duration of 50 ± 23 months. The indications for lead removal included pocket infection (n = 23), endocarditis (n = 2), and ventricular (n = 10) and atrial lead dysfunction (n = 1). Traction device was used for 33 leads and countertraction device for 26 leads. Mean ± SD fluoroscopy time was 4 ± 2 minutes/lead for leads implanted <48 months (n = 38) and 7 ± 3 minutes/lead for leads implanted >48 months (n = 21), P = 0.03. Complete procedural success rate was 91.7% and clinical procedural success rate was 100%, while lead procedural success rate was 95%.CONCLUSIONS: In conclusion, percutaneous extraction of transvenous permanent pacemaker/defibrillator leads using dedicated removal tools is both feasible and safe. |
DOI | 10.1155/2014/949785 |
Alternate Journal | Biomed Res Int |
PubMed ID | 24971363 |
PubMed Central ID | PMC4058177 |