April 12, 2005Journal of Cardiovascular Electrophysiology
Implications and Outcome of Permanent Coronary Sinus Lead Extraction and Reimplantation
Why the study?
What are the procedural outcomes and implications for reimplantation following permanent coronary sinus lead extraction?
Population
10 male patients undergoing coronary sinus or vein branch lead extraction, from a larger cohort of 28…
Design
Case_series
Follow-up
median 4 days (range 1-300) for reimplantation
Authors
Discussion
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Member takes
Implication
May limit reimplantation options after CS lead extraction; leaves open predictors and prevention in larger cohorts.
Structured PICO
What are the procedural outcomes and implications for reimplantation following permanent coronary sinus lead extraction?
P
Population
10 male patients (age 73 +/- 6 years, EF 0.24 +/- 0.09) undergoing coronary sinus or vein branch lead extraction, from a larger cohort of 28 consecutive patients.
I
Intervention
Coronary sinus lead extraction using an excimer laser sheath (n=4) or direct traction (n=6).
O
Outcome
Procedural complications and target vein patency for reimplantation.safety
Coronary sinus lead extraction is feasible, but target vein occlusion is common (50%) if leads are indwelling for >3 months, limiting reimplantation options.
Cite This Study
Burke et al. (2005) studied this question.