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Related Experiment Video

Updated: Jun 24, 2026

Translational Rabbit Model of Chronic Cardiac Pacing

Translational Rabbit Model of Chronic Cardiac Pacing

Published on: January 6, 2023

A shocking lead in the coronary sinus.

Shoaib Hamid¹, Aruna Arujuna, Christopher A Rinaldi

¹Cardiothoracic Department, St Thomas' Hospital, London SE1 7EH, UK. shoaibhamid@hotmail.com

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology

|April 14, 2009

Summary

Coronary sinus lead extraction using lasers can successfully remove defibrillator leads, even after a decade. This minimally invasive technique offers a viable option for managing long-term lead placement.

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Area of Science:

Cardiovascular Medicine
Interventional Cardiology
Medical Device Technology

Background:

Coronary sinus (CS) lead placement is standard for cardiac resynchronization therapy.
The CS is also utilized for implanting defibrillator shock leads.
Percutaneous methods have shown success in removing short- to medium-term CS leads.

Observation:

This report details a case of laser extraction of a coronary sinus defibrillator lead.
The lead had been implanted for nearly 10 years.
Successful removal was achieved using a laser extraction system.

Findings:

Laser extraction is effective for long-term indwelling coronary sinus defibrillator leads.
Percutaneous removal of chronically implanted CS leads is feasible.
Minimally invasive techniques can manage complex lead extraction scenarios.

Implications:

This case expands the evidence for laser lead extraction in complex, long-term cases.
It suggests percutaneous removal is a viable alternative to surgical extraction for chronic CS leads.
Further research into long-term lead extraction techniques is warranted.