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The transxyphoid approach using a laser sheath offers a modified technique for retrieving retained pacemaker leads.
The problem of retained intracardiac foreign bodies remains a concern, particularly in symptomatic patients with endocarditis. This report describes a recently applied technique using transxyphoid application of the Spectranetics Laser Sheath (SLS) for retrieval of a retained right atrial (RA) pacemaker lead. This approach represents modification of the Byrd's technique.
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Khitin et al. (2005) studied this question.
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