Key result
Biopsy forceps and a snare can be used to successfully remove a free distal electrode that detaches during lead extraction.
Describes techniques including biopsy forceps and a snare for managing distal electrode detachment during lead extraction.
May offer a bailout technique for electrode detachment in lead extraction; hypothesis-generating and should not yet change practice.
A telectronics 330-801 atrial active fixation lead with multiple J retention wire fractures was extracted. Separation of the distal electrode occurred due to antecedent inner conductor fracture between the endocardial electrode pair. Techniques for removal of the free distal electrode are described, including use of biopsy forceps and a snare.
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Kutalek et al. (1997) studied this question. Biopsy forceps and a snare can be used to successfully remove a free distal electrode that detaches during lead extraction.
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