December 1, 1993Pacing and Clinical Electrophysiology

Intravascular Extraction of Chronic Pacemaker Leads: Efficacy and Follow‐Up

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Why the study?

Does an intravascular extraction system using a locking stylet and dilator sheaths effectively and safely remove chronic pacemaker leads in patients requiring extraction?

Population

56 patients presenting for lead extraction due to erosion, infection, lead replacement, or other. 86 leads…

Design

Case_series

Authors

PCPaul G. ColavitaUniversity Dermatology SZSamuel H. ZimmernBon Secours Heart & Vascular Institute JGJohn J. GallagherAmerican Heart Association

Discussion

Member takes

Implication

Supports feasibility of locking stylet and dilator sheath extraction in selected cases; leaves open broader safety and efficacy pending prospective data.

Structured PICO

Does an intravascular extraction system using a locking stylet and dilator sheaths effectively and safely remove chronic pacemaker leads in patients requiring extraction?

Population

56 patients (ages 19-88) presenting for lead extraction due to erosion (n=5), infection (n=14), lead replacement (n=35), or other (n=2). 86 leads extracted (32 atrial, 54 ventricular; 23 active fixation, 63 passive). Average duration of implant 58 +/- 42 months (range 1-264).

Intervention

Intravascular lead extraction using a locking stylet (Cook Pacemaker) and dilator sheaths.

Outcome

Efficacy of lead extraction (total vs partial removal)

An intravascular approach using a locking stylet and dilator sheaths is highly effective and safe for the extraction of chronic pacemaker leads.

Cite This Study

Colavita et al. (1993) studied this question.

synapsesocial.com/papers/6a882bff3fe66a1452bc03fa https://doi.org/10.1111/j.1540-8159.1993.tb02346.x

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Implication

Supports feasibility of locking stylet and dilator sheath extraction in selected cases; leaves open broader safety and efficacy pending prospective data.

Intravascular Extraction of Chronic Pacemaker Leads: Efficacy and Follow‐Up

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Intravascular Extraction of Chronic Pacemaker Leads: Efficacy and Follow‐Up

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider