Key result
Removal of a Medtronic Attain Stability lead 63 months post-implantation was successfully achieved using simple traction and rotation maneuvers, demonstrating long-term removal feasibility.
Why the study?
Evidence regarding the long-term extractability of active fixation coronary sinus pacing leads, such as the Medtronic Attain Stability lead, remains poor.
Is it feasible to successfully remove an active fixation coronary sinus pacing lead 63 months post-implant using simple traction and rotation maneuvers?
Case Report (n=1)
Is it feasible to successfully remove an active fixation coronary sinus pacing lead 63 months post-implant using simple traction and rotation maneuvers?
This case report demonstrates the long-term feasibility of removing an active fixation coronary sinus pacing lead 5 years post-implant using simple traction and rotation maneuvers.
Active fixation for a lead in the coronary sinus may be essential to select the optimal left ventricular pacing site, maximize the effectiveness of cardiac resynchronization therapy (CRT) and avoid dislodgement. The Medtronic Attain Stability lead allows fixation through a side helix concentric with the lead body. Although electrical performance of such a lead is well known, evidence of extractability remains poor especially in the long term. We describe the removal of an Attain Stability lead 63 months after implantation which, to the best of our knowledge, is the longest implant duration that has ever been reported, in an 81-year-old male patient. It was successfully achieved using simple traction and rotation maneuvers, demonstrating the long-term removal feasibility of such device.
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Carretta et al. (2022) conducted a case report in Active fixation coronary sinus pacing lead removal (n=1). Lead removal using simple traction and rotation maneuvers was evaluated on Successful lead removal. Removal of a Medtronic Attain Stability lead 63 months post-implantation was successfully achieved using simple traction and rotation maneuvers, demonstrating long-term removal feasibility.
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