PMID: 11310295Apr 20, 2001Paper

Ancillary tools in pacemaker and defibrillator lead extraction using a novel lead removal system

Pacing and Clinical Electrophysiology : PACE
A S ManolisD V Cokkinos

Abstract

A previous report described our preliminary experience with a highly successful pacing lead removal system (VasoExtor). Extending this experience, we found it necessary to use additional tools to enhance the success of percutaneous lead extraction with this system. In the present series, we used the standard locking stylets (S and K), and recently, one newer type of stylet (Magic) over the last 3 years in 34 patients to extract 48 pacemaker leads in 31 patients and 3 defibrillator (ICD) leads in 3 patients. Lead extraction was carried out in 23 men and 11 women (aged 64 +/- 17 years) because of pacemaker infection (n = 21), pacemaker (n = 8) or ICD (n = 3) lead malfunction, or prior to ICD implant (n = 2). Leads were in place for 3.5 +/- 3.7 years. Infections, involving pocket and lead(s), were due to S. epidermidis (n = 13), S. aureus (n = 6), S. aureus plus E. coli (n = 1), for fungi (n = 1). Of the 48 pacing leads, 31 were ventricular, 15 atrial, and 2 were VDD leads. The ICD leads were two double-coil leads (CPI) and one single-coil lead (Telectronics). Using the S (n = 12), K (n = 8), or Magic (n = 3) stylets, all pacing leads in 23 patients and the ICD leads in 2 patients were successfully removed from a subclavian approa...Continue Reading

Citations

Feb 14, 2009·Herzschrittmachertherapie & Elektrophysiologie·Christian G WollmannRainer Gradaus
Aug 18, 2005·Pacing and Clinical Electrophysiology : PACE·Christian G WollmannRainer Gradaus
Oct 1, 2003·Pacing and Clinical Electrophysiology : PACE·Eduardo B SaadBruce L Wilkoff
Sep 4, 2007·Journal of Cardiovascular Electrophysiology·Christian G WollmannRainer Gradaus
May 30, 2006·The Annals of Thoracic Surgery·Federico MillaLeonard N Girardi
Apr 25, 2003·Pacing and Clinical Electrophysiology : PACE·Rainer GradausDirk Böcker

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