A Practical Approach to Lead Removal: Transvenous Tools and Techniques

Felix Krainski; Victor Pretorius; Ulrika Birgersdotter-Green

doi:10.1016/j.ccep.2018.08.002

A Practical Approach to Lead Removal: Transvenous Tools and Techniques

Card Electrophysiol Clin. 2018 Dec;10(4):637-650. doi: 10.1016/j.ccep.2018.08.002.

Authors

Felix Krainski¹, Victor Pretorius², Ulrika Birgersdotter-Green²

Affiliations

¹ University of California San Diego Medical Center, La Jolla, CA, USA. Electronic address: [email protected].
² University of California San Diego Medical Center, La Jolla, CA, USA.

PMID: 30396578
DOI: 10.1016/j.ccep.2018.08.002

Abstract

Removal of cardiovascular implantable electronic devices (CIED) is an important and growing field when managing patients presenting with device infections, need for upgrades, and lead failure. The complex skillset of transvenous lead removal is in high demand along with increasing numbers of implanted CIEDs. A systematic and comprehensive approach to this field, including knowledge of all available tools and vascular access techniques is essential for successful outcomes. This article serves as a practical resource presenting tools and techniques of transvenous lead extraction to help refine and master one's skill.

Keywords: Cardiac implantable electronic devices; Lead extraction; Lead management.

Publication types

Review

MeSH terms

Defibrillators, Implantable*
Device Removal / instrumentation*
Device Removal / methods*
Endovascular Procedures / instrumentation*
Equipment Design
Humans
Pacemaker, Artificial*