Percutaneous extraction of a chronic endocardial left ventricular pacing lead can be successfully performed without sequelae, avoiding the need for thoracotomy.
Answers are grounded in this paper and cite their sources.
May support percutaneous extraction to avoid thoracotomy; hypothesis-generating and requires validation before broader use.
This report describes a patient with a chronic endocardial left ventricular pacing lead. To avoid the risk of future embolization, it was felt that the lead should be removed and right ventricular pacing established. The lead was carefully evaluated by transesophageal echocardiography to exclude adherent thrombus. Successful percutaneous lead extraction was accomplished without sequelae, thus avoiding the morbidity of a thoracotomy.
No takes yet. Share an insight, caveat, or question.
Trohman et al. (1991) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: