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Lead Management and Lead Extraction.

Charles J Love1

  • 1Johns Hopkins Hospital, 600 North Wolfe Street/Carnegie 592B, Baltimore, MD 21287, USA.

Cardiac Electrophysiology Clinics
|February 12, 2018
PubMed
Summary
This summary is machine-generated.

Managing patients with cardiac implantable electronic devices (CIEDs) is complex due to lead complications. Advanced tools now allow for safe and effective lead extraction when necessary, improving patient outcomes.

Keywords:
Cardiac implantable electronic devicesLead extractionPacing complications

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Area of Science:

  • Cardiology
  • Biomedical Engineering

Background:

  • Management of cardiac implantable electronic devices (CIEDs) presents challenges due to potential lead system complications.
  • Lead failure, infection, and venous occlusion necessitate intervention for CIED lead removal.

Purpose of the Study:

  • To review the challenges and current techniques for extracting CIED leads.
  • To highlight the efficacy and safety of modern lead extraction tools.

Main Methods:

  • Review of clinical problems associated with CIED leads.
  • Discussion of advanced tools and techniques for lead extraction.
  • Emphasis on the necessity of complete CIED system removal in cases of infection.

Main Results:

  • Simple traction is often insufficient for lead removal due to adhesions.
  • Infection mandates the removal of the entire CIED system.
  • Available tools and techniques enable skilled operators to extract leads effectively and safely.

Conclusions:

  • CIED lead management requires specialized approaches beyond simple traction.
  • Modern lead extraction techniques offer a safe and efficacious solution for complex cases.
  • Complete system removal is critical for CIED infections.