Heart rhythm · 2011
Percutaneous extraction of stented device leads.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Baranowski Bryan, Wazni Oussama, Chung Roy, Martin David O, Rickard John, Tanaka-Esposito Christine, Bassiouny Mohammed, Wilkoff Bruce L
Аннотация
BACKGROUND: There are limited published data regarding the percutaneous extraction of device leads jailed by a venous stent.
OBJECTIVE: In this study we assessed the feasibility and safety of percutaneous extraction of stented device leads.
METHODS: We reviewed our experience percutaneously extracting 7 chronically implanted device leads jailed to the wall of the left innominate and/or subclavian veins by a previously placed stent.
RESULTS: All leads were successfully extracted by using a percutaneous approach. Both pacing leads and defibrillator leads were extracted. The oldest pacing lead extracted was 14 years old. The oldest defibrillator lead extracted was 6 years old. Three of the leads were extracted with simple manual traction alone. The 4 remaining leads required a more complex, femoral extraction approach for successful removal.
CONCLUSION: In our experience extracting 7 stented device leads, complete percutaneous removal was feasible 100% of the time using a combination of simple manual traction and a femoral approach. No major complications were associated with the extraction procedures.
OBJECTIVE: In this study we assessed the feasibility and safety of percutaneous extraction of stented device leads.
METHODS: We reviewed our experience percutaneously extracting 7 chronically implanted device leads jailed to the wall of the left innominate and/or subclavian veins by a previously placed stent.
RESULTS: All leads were successfully extracted by using a percutaneous approach. Both pacing leads and defibrillator leads were extracted. The oldest pacing lead extracted was 14 years old. The oldest defibrillator lead extracted was 6 years old. Three of the leads were extracted with simple manual traction alone. The 4 remaining leads required a more complex, femoral extraction approach for successful removal.
CONCLUSION: In our experience extracting 7 stented device leads, complete percutaneous removal was feasible 100% of the time using a combination of simple manual traction and a femoral approach. No major complications were associated with the extraction procedures.