Advertisement

Perioperative Management of Transvenous Lead Extraction

  • Gianluca Solarino
  • Andrea Di Cori
  • Giulio Zucchelli

Abstract

Since the early 1990s, the development and use of the procedure for removing chronically implanted transvenous lead systems has progressed and involves an ever-growing number of physicians and centers. Due to the possibility of vascular catastrophe and life-threatening events during this procedure, perioperative management, including thorough patient evaluation and preparation, remain key points for a safe and effective procedure. This chapter focuses on appropriate patient management before, during, and after lead extraction.

Keywords

Superior Vena Cava Cardiac Tamponade Lead Removal Lead Extraction Temporary Pacemaker 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Bracke F, Meijer A, Van Gelder B (2002) Extraction of pacemaker and implantable cardioverter defibrillator leads: patient and lead characteristics in relation to the requirement of extraction tools. Pacing and Clin Electrophysiol 25:1037–1040CrossRefGoogle Scholar
  2. 2.
    Byrd CL, Wilkoff BL, Love CJ et al (1999) Intravascular extraction of problematic or infected permanent pacemaker leads: 1994–1996. U.S. Extraction Database, MED Institute. Pacing Clin Electrophysiol 22:1348–1357PubMedCrossRefGoogle Scholar
  3. 3.
    Smith MC, Love CJ (2008) Extraction of transvenous pacing and ICD leads. Review. Pacing Clin Electrophysiol 31:736–752PubMedCrossRefGoogle Scholar
  4. 4.
    Bongiorni MG, Zucchelli G, Soldati E et al (2007) Usefulness of mechanical transvenous dilation and location of areas of adherence in patients undergoing coronary sinus lead extraction. Europace 9:69–73PubMedCrossRefGoogle Scholar
  5. 5.
    Wilkoff BL, Belott PH, Love CJ et al (2005) Improved extraction of ePTFE and medical adhesive modified defibrillation leads from the coronary sinus and great cardiac vein. Pacing Clin Electrophysiol 28:205–211PubMedCrossRefGoogle Scholar
  6. 6.
    Smith HJ, Fearnot NE, Byrd CL et al (1994) Five years experience with intravascular lead extraction, Pacing Clin Electrophysiol 17:2016–2020PubMedCrossRefGoogle Scholar
  7. 7.
    Field ME, Jones SO, Epstein LM (2007) How to select patients for lead extraction. Hands on. Heart Rhythm 4(7):978–985CrossRefGoogle Scholar
  8. 8.
    Sohail MR, Uslan DZ, Khan AH et al (2008) Infective endocarditis complicating permanent pacemaker and implantable cardioverter-defibrillator infection. Mayo Clin Proc. 83(1):46–53PubMedCrossRefGoogle Scholar
  9. 9.
    Sohail MR, Uslan DZ, Khan AH et al (2007) Management and outcome of permanent pacemaker and implantable cardioverter defibrillator infections. J Am Coll Cardiol 49:1851–1859PubMedCrossRefGoogle Scholar
  10. 10.
    Borek PP, Wilkoff BL (2008) Pacemaker and ICD leads: strategies for long-term management. J Interv Card Electrophysiol 23(1):59–72PubMedCrossRefGoogle Scholar
  11. 11.
    Bongiorni MG, Soldati E, Zucchelli G et al (2008) Transvenous removal of pacing and implantable cardiac defibrillating leads using single sheath mechanical dilatation and multiple venous approaches: high success rate and safety in more than 2000 leads. Eur Heart J 29:2886–2893PubMedCrossRefGoogle Scholar
  12. 12.
    Kennergren C, Bjurman C, Wiklund R et al (2009) A single-centre experience of over one thousand lead extractions. Europace 11(5):612–617PubMedCrossRefGoogle Scholar
  13. 13.
    Wilkoff BL, Love CJ, Byrd CL, Bongiorni MG et al (2009) Transvenous lead extraction: Heart Rhythm Society expert consensus on facilities, training, indications, and patient management: this document was endorsed by the American Heart Association (AHA). Heart Rhythm 6(7):1085–1104PubMedCrossRefGoogle Scholar
  14. 14.
    Henrikson CA, Leng CT, Yuh DD, Brinker JA (2006) Computed tomography to assess possible cardiac lead perforation. Pacing Clin Electrophysiol 29:509–511PubMedCrossRefGoogle Scholar
  15. 15.
    Kennergren CA (2008) European perspective on lead extractions: part II. Heart Rhythm 5(2):320–323PubMedCrossRefGoogle Scholar
  16. 16.
    Yavari A, Khawaja ZO, Krishnamoorthy et al (2009) Perforation of right ventricular free wall by pacemaker lead detected by multidetector computed tomography. Europace 11(2):252–254PubMedCrossRefGoogle Scholar
  17. 17.
    Thuny F, Di Salvo G, Belliard O et al (2005) Risk of embolism and death in infective endocarditis: prognostic value of echocardiography: a prospective multicenter study. Circulation 112:69–75PubMedCrossRefGoogle Scholar
  18. 18.
    Dumont E, Camus C, Victor F et al (2003) Suspected pacemaker or defibrillator transvenous lead infection. Prospective assessment of a TEE-guided therapeutic strategy. Eur Heart J 24:1779–1787PubMedCrossRefGoogle Scholar
  19. 19.
    Goto Y, Aabe T, Sekine S et al (1998) Long-term thrombosis after transvenous permanent pacemaker implantation. Pacing Clin Electrophysiol 21:1192–1195PubMedCrossRefGoogle Scholar
  20. 20.
    Zuber M, Huber P, Fricker U et al (1998) Assessment of the subclavian vein in patients with transvenous pacemaker leads. Pacing Clin Electrophysiol 21:2621–2630PubMedCrossRefGoogle Scholar
  21. 21.
    Henrikson CA, Brinker JA (2008) How to prevent, recognize and manage complications of lead extraction. Part III: procedural factors. Heart Rhythm 5:1352–1354PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2011

Authors and Affiliations

  • Gianluca Solarino
    • 1
  • Andrea Di Cori
    • 1
  • Giulio Zucchelli
    • 1
  1. 1.2nd Cardiovascular Department AOUPSanta Chiara University HospitalPisaItaly

Personalised recommendations