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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
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[Initial experience with excimer laser-assisted pacemaker and defibrillator lead extraction].

Víctor X Mosquera1, Luisa Pérez-Álvarez, Enrique Ricoy-Martínez

  • 1Servicio de Cirugía Cardiaca, Complejo Hospitalario Universitario de A Coruña, A Coruña, España. victor.x.mosquera.rodriguez@sergas.es

Revista Espanola De Cardiologia
|June 24, 2011
PubMed
Summary

Pacemaker and defibrillator lead extraction can be challenging. Excimer laser sheaths offer a safe and effective solution for removing chronically implanted leads, even in complex cases, with a high success rate.

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Area of Science:

  • Cardiology
  • Medical Devices
  • Surgical Technology

Context:

  • Chronically implanted pacemaker and defibrillator leads often require explantation.
  • Lead extraction can be technically challenging due to lead-scarring and long implantation times.

Purpose:

  • To evaluate the safety and efficacy of excimer laser sheaths for pacemaker and defibrillator lead extraction.
  • To assess outcomes in patients undergoing lead extraction with this novel technology.

Summary:

  • The study reports on the first 44 lead extractions using excimer laser sheaths in 25 patients.
  • Median implantation time was 7 years, with indications including lead fracture, infection, and endocarditis.
  • A high complete extraction success rate of 97.7% was achieved with no in-hospital mortality.

Impact:

  • The excimer laser-assisted system is a safe and efficient alternative for lead extraction.
  • This technology enables successful treatment of complex and difficult lead extraction cases.
  • Demonstrates excellent outcomes, improving patient management for lead explantation.