[Pacemaker/ICD lead extraction with the excimer laser sheath: a single center experience]

Area of Science:

• Cardiology
• Medical Devices
• Interventional Procedures

Background:

• Pacemaker and implantable cardioverter-defibrillator (ICD) leads can require extraction due to infection, malfunction, or upgrades.
• Lead extraction can be challenging, especially for older or complex leads, posing risks of complications.

Purpose of the Study:

• To evaluate the safety and effectiveness of the Excimer Laser Sheath Lead Removal System for extracting cardiac leads.
• To assess the outcomes of lead extraction in patients with various underlying cardiac conditions and lead characteristics.

Main Methods:

• A retrospective analysis of 16 patients who underwent lead extraction using the Excimer Laser Sheath at a single center.
• Data collected included patient demographics, cardiac function, lead characteristics, indications for extraction, and complications.

Main Results:

• Thirty-one leads were successfully extracted in 16 patients, with the Excimer Laser Sheath used in 25 leads.
• The procedure demonstrated a high success rate with no major complications reported.
• Patients often had severe heart disease, with a mean ejection fraction of 36.4%.

Conclusions:

• The Excimer Laser Sheath Lead Removal System is a safe and effective tool for pacemaker and ICD lead extraction.
• This technology facilitates lead removal even in patients with complex cardiac histories and lead types.