Open Access Research Article Article ID: JCMC-5-173

    Interdisciplinary stepwise approach for an effective and safe Mechanical Transvenous Lead Extraction

    Valentino Borghetti*, Giovanni Carreras, Chiara Marini, Stefano Donzelli, Giancarlo D’Addario, Enrico Boschetti and Alessandro Pardini

    Aims: Mechanical force applied during leads removal is the main cause for major complications and

    cardiovascular injuries. Aim of this study was to retrospectively analyse safety and effectiveness of a

    stepwise interdisciplinary approach for mechanical transvenous lead extraction.

    Methods: From February 2011 to December 2017, 71 patients (pts) underwent electronic leads

    extraction for Cardiac Implantable Electronic Devices (CIED) complications. Mean age was 70±11 years

    (range 34-92). A total of 160 leads were managed with a mean time from implantation to extraction of

    33±39 months (range 4-300). Lead type were atrial (37%), Ventricular (49%) and Coronary sinus (14%).

    Indication for lead removal were pocket/lead erosion (73%), isolated lead infection (10%), dysfunction or

    upgrading (17%), respectively. Data on algorithm of treatment, procedural success, complications as well

    as 30 day mortality are reported.


    Published on: Oct 30, 2018 Pages: 59-63

    Full Text PDF Full Text HTML DOI: 10.17352/2455-2976.000073
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