Key result
Laser-assisted percutaneous lead extraction successfully removed four pacemaker leads with large vegetations (1.5 and 1 cm), with full patient recovery despite pulmonary embolization.
Percutaneous laser-assisted lead extraction can be successfully performed in patients with multiple leads and large vegetations, though pulmonary embolization is a potential complication.
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May support percutaneous laser extraction in select complex cases despite embolization; leaves open need for prospective safety data.
NGUYEN et al. (2000) studied this question. Laser-assisted percutaneous lead extraction successfully removed four pacemaker leads with large vegetations (1.5 and 1 cm), with full patient recovery despite pulmonary embolization.
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