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
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