Femoral Approach to Lead Extraction

Femoral Extraction Laser and radiofrequency energy–assisted lead extraction has greatly facilitated this complex procedure. Although success rates are high, in some instances alternate methods of extraction are required. In this review, we discuss techniques for femoral extraction of implanted leads...

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Veröffentlicht in:Journal of cardiovascular electrophysiology 2015-03, Vol.26 (3), p.357-361
Hauptverfasser: MULPURU, SIVA K., HAYES, DAVID L., OSBORN, MICHAEL J., ASIRVATHAM, SAMUEL J.
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container_issue 3
container_start_page 357
container_title Journal of cardiovascular electrophysiology
container_volume 26
creator MULPURU, SIVA K.
HAYES, DAVID L.
OSBORN, MICHAEL J.
ASIRVATHAM, SAMUEL J.
description Femoral Extraction Laser and radiofrequency energy–assisted lead extraction has greatly facilitated this complex procedure. Although success rates are high, in some instances alternate methods of extraction are required. In this review, we discuss techniques for femoral extraction of implanted leads and retained fragments. The major tools available, including commonly used snares and delivery tools, are discussed. We briefly describe combined internal jugular and femoral venous extraction approaches, as well as complimentary utilization of more than one technique via the femoral vein. Animated and procedural sequences are included to help the reader visualize the key components of these techniques.
doi_str_mv 10.1111/jce.12564
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subjects Defibrillators, Implantable - adverse effects
Device Removal - methods
femoral route
Femoral Vein - surgery
Humans
lead extraction
lead infection
mechanical extraction
title Femoral Approach to Lead Extraction
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