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Updated: Jul 7, 2026
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Transjugular approach for lead extraction
Hector Mazzetti1, Carlos F Cichero, M Cristina Tentori
1Cardiology Division, Hospital Juan A. Fernández, Cerviño 3356, CP 1425 Buenos Aires, Argentina. hmazzetti@intramed.net.ar
Summary
This study introduces a new transjugular lead extraction technique for damaged or retracted pacemaker and ICD leads. The method shows a high success rate and low complication rate in patients with complex lead retrieval needs.
Area of Science:
- Cardiovascular Surgery
- Medical Device Retrieval
- Interventional Cardiology
Background:
- Lead extraction is crucial for managing malfunctioning or infected cardiac electronic devices.
- Complex cases involving damaged or retracted leads pose significant challenges for traditional extraction methods.
Purpose of the Study:
- To describe a novel transjugular extraction technique for cardiac leads.
- To enable the use of locking stylets and sheaths for previously damaged or retracted leads.
Main Methods:
- A horizontal cervical incision provides access to the internal jugular vein.
- A pig-tail catheter or laparoscopic tool is introduced for lead extraction.
- The technique was applied to 22 leads in 18 patients, with a mean implant duration of 91.8 months.
Main Results:
- Successful extraction was achieved in 18 out of 22 leads.
- The leads extracted included ventricular, atrial, and ICD leads.
- Patient ages ranged from 19 to 87 years.
Conclusions:
- The described transjugular technique is effective for extracting damaged or retracted leads.
- The method demonstrated a high success rate and a low complication rate in this patient cohort.
- This approach offers a viable solution for complex lead extraction scenarios.
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