Lead Extraction Imaging

Card Electrophysiol Clin. 2018 Dec;10(4):625-636. doi: 10.1016/j.ccep.2018.07.007.

Abstract

Lead extraction procedures have a low but real risk of major complications, such as superior vena cava tear and cardiac tamponade. Complications during lead removal are commonly related to lead binding sites, lead malposition, and lead perforation. Lead extraction imaging may indicate lead vascular binding sites, lead position, and perforation. Several imaging modalities are available, including chest radiograph, cardiac computed tomography, and echocardiography. The information provided by various imaging modalities will help assess the challenges of each lead extraction procedure and allows for better preprocedure planning.

Keywords: Cardiac CT; Echocardiography; Imaging; Lead extraction.

Publication types

  • Review

MeSH terms

  • Cardiac Imaging Techniques*
  • Defibrillators, Implantable / adverse effects*
  • Device Removal / methods*
  • Echocardiography
  • Humans
  • Pacemaker, Artificial / adverse effects*
  • Surgery, Computer-Assisted*
  • Thorax / diagnostic imaging
  • Tomography, X-Ray Computed