Percutaneous extraction of transvenous defibrillator leads using the VascoExtor pacing lead removal system

In the implantable cardioverter defibrillator era the necessity for lead removal is not negligible. A specially designed extraction lead system for percutaneous removal of such leads is lacking, in contrast to the existing pacing lead extraction systems. We report the successful percutaneous extract...

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Bibliographic Details
Published in:Journal of interventional cardiac electrophysiology 1999-10, Vol.3 (3), p.247-251
Main Authors: VASSILIKOS, V. P, MAOUNIS, T. N, CHILADAKIS, J, COKKINOS, D. V, MANOLIS, A. S
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiovascular Surgical Procedures - instrumentation
Catheterization, Peripheral - instrumentation
Defibrillators, Implantable
Diseases of the cardiovascular system
Female
Femoral Vein
Heart Ventricles
Humans
Male
Medical sciences
Middle Aged
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Surgical Instruments
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Summary:In the implantable cardioverter defibrillator era the necessity for lead removal is not negligible. A specially designed extraction lead system for percutaneous removal of such leads is lacking, in contrast to the existing pacing lead extraction systems. We report the successful percutaneous extraction of four implantable cardioverter defibrillator leads in three patients because of lead malfunction using a novel pacemaker lead extraction system, the VascoExtor (VascoMed) system. Three leads were successfully removed in two patients using traction with special locking stylets from the superior approach. One lead was removed using the system's additional extraction tools through the femoral approach. There were no complications. This preliminary experience shows that the VascoExtor (VascoMed) pacemaker lead extraction system can also be used in implantable cardioverter defibrillator lead extraction safely and effectively. In addition to the locking stylets, adjunct percutaneous extraction tools may be needed in some cases.
ISSN:1383-875X
1572-8595
DOI:10.1023/A:1009899708781