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Endocardial Lead Extraction

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Cardiac Pacing for the Clinician

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There is an ever-increasing need to manage complications in this era of implantable antiarrhythmic devices. Infections, sepsis, and the threat of mechanical trauma can necessitate partial or complete removal of an antiarrhythmic system, including device and leads. Such removal comes with the potential risk of significant morbidity and even mortality. The management of device complications has become a subspecialty of cardiology and cardiovascular surgery (1–5). It requires special training to acquire the skills for successful results.

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References

  1. Wallace H, Sherafat M, Blakemore WS. The stubborn pacemaker catheter. Surgery 1970;68:914–915.

    PubMed  CAS  Google Scholar 

  2. Bilgutay AM, Jensen NK, Schmidt WR, et al. Incarceration of transvenous pacemaker electrode. Removal by traction. Am Heart J 1969;77:377–379.

    Article  PubMed  CAS  Google Scholar 

  3. Imparato A, Kim GE. Electrode complications in patients with permanent cardiac pacemakers. Arch Surg 1972;105:705–710.

    PubMed  CAS  Google Scholar 

  4. Myers MR, Parsonnet V, Bernstein AD. Extraction of implanted transvenous pacing leads: a review of a persistent clinical problem. Am Heart J 1991;121:881–888.

    Article  PubMed  CAS  Google Scholar 

  5. Byrd CL, Schwartz SJ, Hedin N. Lead extraction: indications and techniques. Cardiol Clin 1992;10:735–748.

    PubMed  CAS  Google Scholar 

  6. Hayes DL. Extraction of permanent pacing leads: There are still controversies in (Editorial). Heart 1996;75(6):539.

    Article  PubMed  CAS  Google Scholar 

  7. Furman S, Behrens M, Andrews C, et al. Retained pacemaker leads. J Thorac Cardiovasc Surg 1987;94:770.

    PubMed  CAS  Google Scholar 

  8. Myers MR, Parsonnet V, Bernstein AD. Extraction of implanted transvenous pacing leads: A review of a persistent clinical problem. Am Heart J 1991;121:881.

    Article  PubMed  CAS  Google Scholar 

  9. Belott PH, Introduction. In Endocardial head Extraction A Videotape and Manual Mount Kisco New York, Futura Publishing to page X1, 1998.

    Google Scholar 

  10. Garcia-Jimenez A, Alba CMB, Cortes JMG, et al. Myocardial rupture after pulling out a tined atrial electrode with continuous traction. PACE 1989;12:508.

    Google Scholar 

  11. Sonnhag C, Walfridsson H. Extraction of chronically infected pacemaker leads: two cases with serious complications. (Abstract) PACE 1989;12:1204.

    Google Scholar 

  12. Lee ME, Chaux A, Matloff JM. Avulsion of a tricuspid valve leaflet during traction on an infected, entrapped endocardial pacemaker electrode. J Thorac Cardiovasc Surg 1977;74:433–435.

    PubMed  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  14. Madigan NP, Curtis JJ, Sanfelippo JF, et al. Difficulty of extraction of chronically implanted tined ventricular leads. JACC 1984;3:724–731.

    PubMed  CAS  Google Scholar 

  15. Rettig G, Doenecke P, Sen S, et al. Complications with retained transvenous pacemaker electrodes. Am Heart J 1979;98:587–594.

    Article  PubMed  CAS  Google Scholar 

  16. Shennib H, Chiu R, Rosengarten M, et al. The non-extractable tined endocardial pacemaker lead. Can J Cardiol 1989;5:305–307.

    PubMed  CAS  Google Scholar 

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

    Google Scholar 

  18. Massumi RA, Ross AN. Atraumatic nonsurgical technique for removal of broken catheters from the cardiac cavities. Med Intell 1967;277:195.

    CAS  Google Scholar 

  19. Meibom J. A new method for transvenous electrode explantation. (Abstract) PACE 1985;8:A-54.

    Google Scholar 

  20. Byrd CL, Schwartz SJ, Sivina M, et al. Experience with 127 pacemaker lead extractions. (Abstract) PACE 1986;9:282.

    Google Scholar 

  21. Byrd CL, Schwartz SJ, Ciraldo RJ, et al. Update on transvenous countertraction lead extraction experience. (Abstract) PACE 1987;10:443.

    Google Scholar 

  22. Byrd CL, Schwartz SJ, Hedin NB, et al. Intravascular lead extraction using locking stylets and sheaths. PACE 1990;13:1871–1875.

    PubMed  CAS  Google Scholar 

  23. Byrd CL, Schwartz SJ, Hedin N. Intravascular techniques for extraction of permanent pacemaker leads. J Thorac Cardiovasc Surg 1991;101:989–997.

    PubMed  CAS  Google Scholar 

  24. Byrd CL, Schwartz SJ, Hedin NB. Lead extraction: techniques and indications. In: Barold SS, Mugica J, eds. New perspectives in cardiac pacing, vol. 3. Mount Kisco, NY: Futura Publishing, 1993:29–55.

    Google Scholar 

  25. Byrd CL. Management of implant complications. In: Ellenbogen KA, Kay GN, Wilkoff BL, eds. Clinical cardiac pacing. Philadelphia: WB Saunders, 1995:491–522.

    Google Scholar 

  26. Goode LB, Byrd CL, Wilkoff BL, et al. Development of a new technique for explantation of chronic transvenous pacemaker leads: five initial case studies. Biomed Instrument Technol 1991;25:50–53.

    CAS  Google Scholar 

  27. Fearnot NE, Smith HJ, Goode LB, et al. Intravascular lead extraction using locking stylets, sheaths, and other techniques. PACE 1990;13:1864–1875.

    PubMed  CAS  Google Scholar 

  28. Love CJ, Nelson SD, Schaal SF. Extraction of permanent pacemaker leads using the Cook extraction set; initial clinical experience. (Abstract) J Am Coll Cardiol 1990;15(2):50A.

    Google Scholar 

  29. Byrd CL, Schwartz SJ, Hedin NB, et al. Inferior vena cava extraction technique. (Abstract) PACE 1992;15:571.

    Google Scholar 

  30. Foster CJ, Brownlee WC. Percutaneous removal of ventricular pacemaker electrodes using a Dormia basket. Int J Cardiol 1988;21:127–134.

    Article  PubMed  CAS  Google Scholar 

  31. Hayes DL, Vlietstra RE, Neubauer S. Snare retrieval of entrapped infected transvenous pacing leads to avoid thoracotomy. (Abstract) PACE 1987;10:686.

    Google Scholar 

  32. Taliercia CP, Vlietstra RE, Hayes DL. Pigtail catheter for extraction of pacemaker lead. (Letter) J Am Coll Cardiol 1985;5:1020.

    Google Scholar 

  33. Ramsdale DR, Arumugam N, Pidgeon JW. Removal of fractured pacemaker electrode tip using Dotter basket. PACE 1985;8:759–760.

    PubMed  CAS  Google Scholar 

  34. Espinosa RE, Hayes DL, Vlietstra RE, et al. The Dotter retriever and pigtail catheter: efficacy in extraction of chronic transvenous pacemaker leads. PACE 1993;16:2337–2342.

    PubMed  CAS  Google Scholar 

  35. Byrd CL, Schwartz SJ, Hedin NB. Lead extraction: techniques and indications. In: Barold SS, Mujica J, eds. New Perspectives in Cardiac Pacing, vol. 3. Mount Kisco, NY: Futura Publishing, 1993:9–55.

    Google Scholar 

  36. Love CJ, Wilkoff BL, Byrd CL et al. Recommendations for extraction of chronically implanted transvenous pacing and defibrillator leads: indications, facilities, training. North American Society of pacing electrophysiology lead extraction conference faculty. PACE 2000;23:544.

    PubMed  CAS  Google Scholar 

  37. Smith CW, Messenger JC, Schanner SP, et al. Cardiac pacemaker electrodes: improved methods of extraction. Work in progress. Radiology 1994;193:739.

    PubMed  CAS  Google Scholar 

  38. Cope C, LaRieu AJ, Isaacson CS, et al. Transfemoral removal of a chronically implanted pacemaker lead: report of a case. Ann Thorac Surg 1986;42:329.

    Article  PubMed  CAS  Google Scholar 

  39. Maisch B, Ertl G, Kurke H. Extraction of a chronically infected endocardial screw-in pacing lead by pigtail catheter and wire loop via the femoral vein. PACE 1983;8:230.

    Google Scholar 

  40. Maisch B, Ertl G. Transfemoral extraction of endocardial screw-in pacemaker leads. J Electrophysiol 1987;1:172.

    Google Scholar 

  41. Dotter CT, Rösch J, Bilbao MK. Transluminal extraction of catheter and guide fragments from the heart and great vessels: twenty-nine collected cases. Am J Radiol 1971;111:467.

    CAS  Google Scholar 

  42. Enge I, Flatmark A. Percutaneous removal of intravascular foreign bodies via the snare technique. Acta Radiol 1973;14:747.

    CAS  Google Scholar 

  43. Curry JA. Recovery of a detached intravascular catheter or guidewire fragments: a proposed method. Am J Radiol 1969;105:894.

    CAS  Google Scholar 

  44. Yedlicka JW Jr, Carlson JE, Hunter DW, et al. The Nitonol “Gooseneck” snare for foreign body removal: an experimental study and clinical evaluation. Am J Radiol 1991;156:1007.

    Google Scholar 

  45. McSweeney WJ, Schwarts DC. Retrieval of a catheter foreign body from the right side of the heart using a guidewire deflector system. Radiology 1971;100:61.

    PubMed  CAS  Google Scholar 

  46. Byrd CL, Schwartz SJ, Sevina M, et al. Technique for surgical extraction of permanent pacemaker leads and electrodes. J Thorac Cardiovasc Surg 1985;89:142.

    PubMed  CAS  Google Scholar 

  47. Byrd CL. Extracting chronically implanted pacemaker leads using the Spectranetics excimer laser: initial clinical experience. (Abstract) PACE 1996;19:567.

    Google Scholar 

  48. Byrd CL. Wilkoff BL, Love CJ, et al. Update of the PLEXES trial: two-year experience. (Abstract) PACE 1998;21:817.

    Google Scholar 

  49. Bracke FA, Meijer A, Van Gelder B. Learning curve characteristics of pacing lead extraction with a laser sheath. PACE 1998;21:2309–2313.

    PubMed  CAS  Google Scholar 

  50. Al-Khadra AS, Wilkoff Bl, Byrd CL, et al. Extraction of nonthoracotomy defibrillator leads using the Spectranetics LASER sheath: the US experience. (Abstract) PACE 1998;21:889.

    Google Scholar 

  51. Krishnan S, Epstein L. Initial experience with a laser sheath to extract chronic transvenous implantable cardioverter-defibrillator leads. Am J Cardiol 1998;82:1293–1295.

    Article  PubMed  CAS  Google Scholar 

  52. Reiser C, Taylor K, Lippincott R. Large laser sheaths for pacing and defibrillator lead removal. Lasers Surg Med 1998;22:42–45.

    Article  PubMed  CAS  Google Scholar 

  53. Varma N, Selke FW, Epstein LM. Chronic atrial lead explantation using a staged percutaneous laser and open surgical approach. PACE 1998;21:1483–1485.

    PubMed  CAS  Google Scholar 

  54. Wilkoff BL, Byrd CL, Love CJ, et al. Pacemaker lead extraction with the laser sheath: results of pacing lead extraction with the excimer sheath (PLEXES) trial. J Am Coll Cardiol 1999;33(6):1671–1676.

    Article  PubMed  CAS  Google Scholar 

  55. Love C, Brinker J, Gross J, et al. Predictors of life-threatening and major intravascular extraction complications with an ACCUFIX atrial J lead. (Abstract) PACE 1998;21:817.

    Google Scholar 

  56. Hayes DL, Lloyd MA, Holmes DR Jr. Counseling and management of patients with Telectronics 330–801 Accufix leads. PACE 1995;18(8):1595.

    PubMed  CAS  Google Scholar 

  57. Lloyd MA, Hayes DL, Stanson AW, et al. Snare removal of a Telectronics Accufix atrial J retention wire. Mayo Clin Proc 1995;70:376.

    Article  PubMed  CAS  Google Scholar 

  58. Sulke N, Chambers J, Blauth C. Life-threatening degeneration of the Accufix active fixation atrial pacing electrode. Lancet 1995;346:25.

    Article  PubMed  CAS  Google Scholar 

  59. Tyers GF, Clark J, Wang Y, Mills P, Bashir J. Coronary sinus lead extraction. PACE 2003;26:524–526.

    PubMed  Google Scholar 

  60. Byrd CL, Wilkoff B, Love C, et al. Clinical study of the laser sheath: Results of the PLEXES Trial. PACE 1997;20(II):1053.

    Google Scholar 

  61. Smith HJ, Fearnot NE, Byrd CL, et al. Five-year experience with intravenous lead extraction. U.S. Lead Extraction Data Base. PACE 1994;17:2016.

    PubMed  CAS  Google Scholar 

  62. Smith HJ, Fearnot NE, Byrd CL, et al. Intravascular extraction of chronic pacing leads: the effect of physician experience. (Abstract) PACE 1992;15:513.

    Google Scholar 

  63. Van Zandt HJ, on behalf of Extraction Database Participants. Experience to date: The Extraction Registry. Presented as part of the minicourse Lead Extraction: 1997. In: NASPE 18th Annual Scientific Sessions Highlights. New Orleans: NASPE; produced by Medical Support Systems, 1997.

    Google Scholar 

  64. Byrd CL, Wilkoff BL, Love CJ, et al. Intrvascular intravascular extraction of problematic or infected permanent pacemaker leads: 1994–1996 U.S. extraction database. Med Institute. PACE 1999;22:1348–1357.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Sharp Grossmont Hospital, El Cajon, CA, USA

    Peter H. Belott

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  1. Peter H. Belott
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Editors and Affiliations

  1. Mayo Clinic, 32224, Jacksonville, FL, USA

    Fred M. Kusumoto MD

  2. University of California San Francisco School of Medicine, San Francisco, CA, USA

    Nora F. Goldschlager MD

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Belott, P.H. (2008). Endocardial Lead Extraction. In: Kusumoto, F.M., Goldschlager, N.F. (eds) Cardiac Pacing for the Clinician. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-72763-9_6

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  • DOI: https://doi.org/10.1007/978-0-387-72763-9_6

  • Publisher Name: Springer, Boston, MA

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  • Online ISBN: 978-0-387-72763-9

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