Extraction of chronic pacemaker and defibrillator leads from the coronary sinus: laser infrequently used but required

被引:41
作者
Hamid, Shoaib [1 ]
Arujna, Aruna [1 ]
Khan, Sitara [1 ]
Ladwiniec, Andrew [1 ]
McPhail, Mark [1 ]
Bostock, Julian [1 ]
Mobb, Margaret [1 ]
Patel, Nik [2 ]
Bucknall, Cliff [1 ]
Rinaldi, Christopher A. [1 ]
机构
[1] St Thomas Hosp, London, England
[2] Eastbourne Dist Hosp, Eastbourne, England
来源
EUROPACE | 2009年 / 11卷 / 02期
关键词
CARDIAC RESYNCHRONIZATION THERAPY; SINGLE-CENTER EXPERIENCE; SUCCESS; SHEATH;
D O I
10.1093/europace/eun374
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac resynchronization therapy is an accepted treatment for heart failure but it may be necessary to explant these systems along with their leads. The evidence base for coronary sinus (CS) lead extractions is limited. We aimed to evaluate the percutaneous removal of these leads and the utility of laser extraction when necessary. Of 265 patients referred for lead extraction between January 2004 and June 2008, 32 (12.1%) involved CS leads (30 males, mean age 67 years). Mean implantation time was 26.5 +/- 28.7 months (range 1-116 months). Indications for extraction were pocket infection (34.4%), lead malfunction (43.8%), skin erosion (15.6%), and endocarditis (6.2%). Twenty-eight (87.5%) CS leads were removed with manual traction, with laser utilized in four cases (12.5%). No major complications of CS laceration, pericardial effusion, emergency surgery, or death occurred. Our experience supports the percutaneous extraction of CS leads as a safe and effective procedure including the utility of laser when necessary.
引用
收藏
页码:213 / 215
页数:3
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