Endocardial leads extraction techniques

DOI: https://doi.org/10.25512/DIR.2010.04.1.05

For quoting:
Drozdov I.I., Amirislaniv A.Yu., Alexandrov A.N., Knigin A.V., Alimov A.G., Kokov L.S. "Endocardial leads extraction techniques". Journal Diagnostic & interventional radiology. 2010; 4(1); 35-51.

authors:

Drozdov I.I.

Amirislaniv A.Yu.

Alexandrov A.N.

Knigin A.V.

Alimov A.G.

Kokov L.S.

keywords:

endocardial lead extraction

cardiac pacemaker

fibrous tissue

contratraction

contrapressure

Abstract:

This report touches upon the pressing problem of endocardial leads removal. It is essential to free the leads safely and effectively of fibrous depositions on contact points of venous walls or cardiac structures. Main principles of retrieval are contratraction and contra0 pressure. Authors present a comprehensive review of all existing lead removal techniques, from simple traction to active extraction device application, discussing clinical efficiency, indications and possible complications of each method. Active extraction systems are declared to be most advantageous.

References

1. BrugadaJ., Vardas P., Wolpert C. The Current Status of Cardiac Electrophysiology in ESC Member Countries. The EHRA White Book. 2009; 4-427.

2. Бокерия Л.А., Ревишвили А.Ш., Дубровский И.А. и др. Интервенционное и хирургическое лечение нарушений ритма сердца. М.: Российская и европейская базы данных. НЦССХ им. А.И. Бакулева РАМН.2007; 3-32.

3. Path to growth. Cardiac Lead Removal System. Spectranetics annual report 2004. Colorado Springs. 2005.

4. Imparato A., Kim G.E. Electrode complications in patients with permanent cardiac pacemakers. Arch. Surg. 1972; 105: 705-710.

5. Myers M.R., Parsonnet V., Bernstein A.D. Extraction of implanted transvenous pacing leads: a review of a persistent clinical problem. Am. Heart. J. 1991; 121: 881-888.

6. Byrd C.L. et al. Lead extraction: indications and techniques. Cardiol. lin. 1992; 10: 735-748.

7. Hayes D.L. Extraction of permanent pacing leads. There are still controversies in Editorial. Eur. Heart.J. 1996; 75 (6): 539.

8. Furman S. et al. Retained pacemaker leads. J.Thorac. Cardiovasc. Surg. 1987; 94: 770-771.

9. Bellot P.H. Introduction. Endocardial lead extraction. A videotape and manual. Armonk. Futura. Pub. 1998; 3-11.

10. Sonnhag C., Walfridsson H. Extraction of chronically infected pacemaker leads: two cases with serious complications. Pacing. Clin. Electrophysiol. 1989; 12: 1204.

11. Lee M.E., Chaux A., Matloff J.M. Avulsion of a tricuspid valve leaflet during traction on an infected, entrapped endocardial pacemaker electrode.J. Thorac. Cardiovasc. Surg. 1977; 74: 433-435.

12. Jarvinen A., Harjula A., Verkkala K. Intrathoracic surgery for retained endocardial electrodes. J. Thorac. Cardiovasc Surg. 1986; 34: 94-97.

13. Shennib H. et al. The non-extractable tined endocardial pacemaker lead. Can. J. Cardiol. 1989; 5: 305-307.

14. Bellot P.H. Endocardial Lead Extraction. In Cardiac pacing for the clinician. Eds. Kusumoto M., Goldschlager N.F. Springer. 2008; 280-281.

15. Porstman N.W., Wierny L., Warnke H. Closure of persistent ductus arteriosus without thoracotomy. German. Med. Monthly. 1967; 12: 1.

16. Massumi R.A., Ross A.N. Atraumatic nonsurgical technique for removal of broken catheters from the cardiac cavities. Med. Intel. 1967; 277: 195.

17. Fearnot N.E. et al. Intravascular lead extraction using locking stylets, sheaths, and other techniques. Pacing. Clin. Electrophysiol. 1990; 13: 1864-1870.

18. Sutton R., Bourgeois I. The foundation of cardiac pacing: an illustrated