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Related Experiment Video

Updated: Jan 20, 2026

Procedure to Evaluate the Efficiency of Flocculants for the Removal of Dispersed Particles from Plant Extracts

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Lead Removal Without Extraction Tools: A Single-Center Experience.

Neiberg de Alcantara Lima^1,2, Gisele Schinaider Cunha³, Natalia Soares de Menezes²

¹Western Michigan University Michigan United States Western Michigan University, Michigan, United States.

Brazilian Journal of Cardiovascular Surgery

|August 28, 2019

Summary

Simple manual traction is an effective method for cardiac device lead extraction, achieving high success rates without complications. This technique is a viable first-line approach, especially in resource-limited settings, before considering more complex tools.

Keywords:

Lasers Pacemaker, Artificial Retrospective Studies Traction

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Last Updated: Jan 20, 2026

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Area of Science:

Cardiology
Medical Devices
Surgical Procedures

Background:

Cardiac device implantation is increasing, leading to a greater need for lead extraction due to infections, lead failure, and device recalls.
Advanced technological tools like powered laser sheaths exist for lead extraction but present significant economic challenges.

Purpose of the Study:

To evaluate the efficacy of simple manual traction for transvenous lead extraction.
To question the necessity of expensive, technologically advanced devices in lead extraction procedures.

Main Methods:

Retrospective observational study of 35 patients undergoing transvenous lead extraction.
Data collected via records review, analyzing patient demographics, device information, dwelling time, extraction indications, and outcomes.
Simple manual traction was the primary extraction technique assessed.

Main Results:

The median dwelling time for cardiac devices was 46.22 months.
Common indications for lead extraction included infection, lead fracture, and device malfunction.
Simple manual traction was used in 88.9% of cases, achieving a 90% success rate with complete removal and no immediate complications.

Conclusions:

Simple manual traction is an effective and successful method for transvenous lead extraction.
This technique is a cost-effective first-line approach, particularly in economically challenged regions.
Auxiliary tools should be reserved for cases where simple manual traction fails or is contraindicated.