Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

359
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
359

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Indication-stratified early outcomes after transvenous lead extraction in hemodialysis patients: Analysis of a prospective 1256-patient registry.

Heart rhythm O2·2026
Same author

2026 HRS/AHA/APHRS/EHRA/IDSA/LAHRS/PACES/STS expert consensus statement update on cardiovascular implantable electronic device lead management and extraction.

Heart rhythm·2026
Same author

Center-Level Factors and Geographic Variation in Treatment of Cardiovascular Implantable Electronic Device Infections.

JACC. Clinical electrophysiology·2026
Same author

Novel Percutaneous Management of Giant Vegetations With Pulmonary Emboli.

Journal of cardiovascular electrophysiology·2025
Same author

Giant 8-cm coronary artery aneurysm: Surgical management.

JTCVS techniques·2025
Same author

Open aortic root in a porcelain aorta when TAVR is not feasible.

Multimedia manual of cardiothoracic surgery : MMCTS·2025

Related Experiment Video

Updated: Dec 19, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

10.8K

Minimally Invasive Techniques to Avoid Sternotomy in Complex Lead Extraction Cases.

Ryan Azarrafiy1, Roger G Carrillo2

  • 1University of Miami Miller School of Medicine, Miami, FL, USA.

The Journal of Innovations in Cardiac Rhythm Management
|June 5, 2020
PubMed
Summary
This summary is machine-generated.

Minimally invasive surgical techniques like transatrial and subxiphoid approaches offer safe alternatives for complex cardiac device lead extractions when percutaneous methods fail. These methods demonstrate high procedural success and survival rates.

Keywords:
Cardiac implantable electronic deviceminimally invasivepacingsurgerytransvenous lead extraction

More Related Videos

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

12.1K
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

438

Related Experiment Videos

Last Updated: Dec 19, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

10.8K
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

12.1K
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

438

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Devices

Background:

  • Cardiac device lead extractions are increasing.
  • Percutaneous extraction is common, but complex cases require alternatives.
  • Median sternotomy is traditional but invasive.

Purpose of the Study:

  • To evaluate the safety and efficacy of minimally invasive surgical techniques for complex cardiac device lead extraction.
  • To compare outcomes of transatrial, subxiphoid, left minithoracotomy/thoracoscopy, and ministernotomy approaches.

Main Methods:

  • Retrospective review of a prospective registry of patients undergoing minimally invasive lead extraction (Jan 2003 - Oct 2017).
  • Data collected included patient demographics, lead dwell time, procedure indication, complications, procedural success, and survival.
  • Analysis of four specific surgical techniques: transatrial, subxiphoid, left minithoracotomy/thoracoscopy, and ministernotomy.

Main Results:

  • Transatrial approach: 14 cases, 100% procedural success, 100% survival.
  • Subxiphoid approach: 11 cases, 100% procedural success, 90.9% survival.
  • Left minithoracotomy/thoracoscopy: 19 cases, 100% procedural success, 94.7% survival.
  • Ministernotomy: 1 case, successful removal of infected lead fragment.

Conclusions:

  • Minimally invasive surgical approaches (transatrial, subxiphoid, left minithoracotomy/thoracoscopy, ministernotomy) are safe and effective alternatives.
  • These techniques are suitable for complex lead extraction cases unsuitable for percutaneous methods.
  • These approaches offer a less invasive option compared to traditional median sternotomy.