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Lead extraction with high frequency laser sheaths: a single-centre experience.

Simon Pecha¹, Matthias Linder¹, Nils Gosau²

¹Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery

|February 1, 2017

Summary

This summary is machine-generated.

The new 80 Hz GlideLight laser sheath offers a safe and effective method for extracting chronically implanted cardiac devices. This high-frequency laser sheath achieved a 96.7% procedural success rate with a low complication rate.

Keywords:

High frequency laser sheaths ICD lead extraction Laser lead extraction Pacemaker lead extraction

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Area of Science:

Cardiology
Medical Devices
Electrophysiology

Background:

Extraction of chronically implanted cardiac leads can be challenging.
Previous excimer laser sheaths (40 Hz) showed good results.
A new 80 Hz high-frequency laser sheath (GlideLight) is now available.

Purpose of the Study:

To evaluate the clinical experience and outcomes of using the GlideLight 80 Hz laser sheath for lead extraction.
To assess the safety and efficacy of this new high-frequency laser sheath.

Main Methods:

A retrospective analysis of 292 lead extractions in 151 patients using the 80 Hz GlideLight laser sheath between January 2012 and August 2016.
Indications for extraction included infection, lead dysfunction, and system upgrade.
Patient and procedural data were collected and analyzed.

Main Results:

The study included 151 patients (mean age 66.2 years, 73.5% male) with extraction of atrial, ventricular, and coronary sinus leads.
The mean time from implantation was 98 months.
Clinical success was 99.3%, with complete procedural success in 96.7%. The complication rate was 2.0%, with no periprocedural mortality.

Conclusions:

The GlideLight 80 Hz high-frequency laser sheath is a safe and effective tool for extracting chronically implanted pacemaker and implantable cardioverter-defibrillator leads.
Its high success rate and low complication profile make it a valuable option for challenging lead extractions.