Advances in device lead extraction

被引：15

作者：

Byrd C.L. ^{[1
]}

机构：

[1] not available, Fort Lauderdale, FL 33316

来源：

Current Cardiology Reports | 2001年 / 3卷 / 4期

关键词：

Superior Vena Cava; Cardiac Vein; Lead Removal; Lead Extraction; Heart Wall;

D O I：

10.1007/s11886-001-0087-9

中图分类号：

学科分类号：

摘要：

The removal of chronically implanted pacemaker and defibrillator leads has evolved over the past 20 years into an integral part of the medical and surgical practice of electrophysiology. It is the basis for management of device-related complications. Lead removal has progressed from just pulling, to a sophisticated procedure based on telescoping sheaths, counterpressure, and countertraction. Current telescoping sheaths have a powered tip (laser or electrosurgical) for more efficient extirpation of leads from encapsulating fibrous tissue. The management of a device infection exemplifies the spectrum of procedures ranging from debridement of inflammatory tissue to transvenous, transatrial, or epicardial lead reimplantation (care must be given to the consequences of chronic implant complications such as superior vein occlusion). The magnitude of these lead removal procedures ranges from a transvenous procedure to cardiopulmonary bypass removing a pannus of infected material. Current procedure related mortality is less than 0.2% at experienced centers. © 2001 by Current Science Inc.

引用

页码：324 / 333

页数：9

共 23 条

[1]

Byrd C.L., Is there an optimal method of lead extraction?, Cardiac Pacing: New Advances, pp. 293-317, (1997)

[2]

Byrd C.L., Management of implant complications, Clinical Cardiac Pacing and Defibrillation, pp. 669-694, (2000)

[3]

Byrd C.L., Wilkoff B.L., Techniques and devices for extraction of pacemaker and implantable cardioverter-defibrillator leads, Clinical Cardiac Pacing and Defibrillation, pp. 695-709, (2000)

[4]

Love C.J., Wilkoff B.L., Byrd C.L., Et al., Recommendations for extraction of chronically implanted transvenous pacing and defibrillator leads: Indications, facilities, training, PACE, 23, pp. 544-551, (2000)

[5]

Sellers T.D., Smith H.J., Fearnot N.E., Et al., Intravascular lead extraction: Technique tips and US database results, PACE, 16, (1993)

[6]

Smith H.J., Fearnot N.E., Byrd C.L., Et al., Five-years experience with intravascular lead extraction, PACE, 17, pp. 2016-2020, (1994)

[7]

Al-Khadra A.S., Wilkoff B.L., Byrd C.L., Et al., Extraction of nonthoracotomy defibrillator leads using the Spectranetics laser sheath: The US experience, PACE, 21, 4 PART II, (1998)

[8]

Wilkoff B.L., Byrd C.L., Love C.J., Et al., Risks of intravascular extraction of chronic pacemaker and ICD leads: A multicenter analysis of 1895 patients, PACE, 21, 4 PART 2, (1998)

[9]

Byrd C.L., Love C.J., Wilkoff B.L., Et al., A bipolar electrosurgical dissection sheath for lead extraction: Results of the EXCL multicenter clinical study, Pace, 24, (2001)

[10]

Byrd C.L., Schwartz S.J., Hedin N.B., Et al., Intravascular lead extraction using locking stylets and sheaths, PACE, 13, pp. 1871-1872, (1990)

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