July 1, 2002Pacing and Clinical Electrophysiology

Extraction of Pacemaker and Implantable Cardioverter Defibrillator Leads: Patient and Lead Characteristics in Relation to the Requirement of Extraction Tools

View Full Paper

Ask AI

Bookmark

Structured PICO

Population

83 patients with 145 consecutive pacemaker and implantable cardioverter defibrillator (ICD) leads requiring extraction from the subpectoral area. Indications for extraction included infection (96 leads) and malfunction (49 leads). Leads were implanted for 71 +/- 61 months.

Intervention

Stepwise extraction protocol starting with direct traction (directly or with a locking stylet), followed by laser sheath extraction if not successful.

Outcome

Success of lead extraction with direct traction versus requirement of additional extraction tools (laser sheath).

Time from implant is the most critical predictor of successful pacemaker and ICD lead extraction using direct traction, with leads implanted for >6 months typically requiring additional extraction tools like laser sheaths.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Supports traction-first for leads <6 months; leaves open prospective validation of infection's independent role.

Cite This Study

Bracke et al. (2002) studied this question.

synapsesocial.com/papers/6a7114392fdcb5703edb6f4c https://doi.org/10.1046/j.1460-9592.2002.01037.x

Topics

Cardiac device therapy

View Full Paper

Ask AI

Bookmark

Extraction of Pacemaker and Implantable Cardioverter Defibrillator Leads: Patient and Lead Characteristics in Relation to the Requirement of Extraction Tools

Structured PICO

Discussion

Implication

Cite This Study

Topics

Extraction of Pacemaker and Implantable Cardioverter Defibrillator Leads: Patient and Lead Characteristics in Relation to the Requirement of Extraction Tools

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider