Key result
Laser sheath extraction of non-functional leads successfully recanalised occluded veins and secured a route for new lead implantation in 3 patients without affecting normally functioning leads.
Why the study?
Does laser sheath extraction of non-functional leads allow for recanalisation and implantation of new leads in patients with ipsilateral obstructed venous access?
Case Report (n=3)
Does laser sheath extraction of non-functional leads allow for recanalisation and implantation of new leads in patients with ipsilateral obstructed venous access?
Laser sheath extraction of non-functional leads is a viable technique to recanalise occluded veins and allow ipsilateral implantation of new pacing or defibrillator leads.
May facilitate ipsilateral lead implantation in occluded veins; leaves open need for prospective studies before wider use.
Occlusion of the subclavian or brachiocephalic vein in pacemaker or defibrillator patients prohibits ipsilateral implantation of new leads with standard techniques in the event of lead malfunction. Three patients are presented in whom laser sheath extraction of a non-functional lead was performed in order to recanalise the occluded vein and to secure a route for implantation of new leads. This technique avoids abandoning a useful subpectoral site for pacing or defibrillator therapy. The laser sheath does not affect normally functioning leads at the same site.
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Frank Bracke (2000) conducted a case report in Occlusion of the subclavian or brachiocephalic vein in pacemaker or defibrillator patients (n=3). Laser sheath extraction of non-functional leads was evaluated on Recanalisation of the occluded vein and securing a route for implantation of new leads. Laser sheath extraction of non-functional leads successfully recanalised occluded veins and secured a route for new lead implantation in 3 patients without affecting normally functioning leads.