The Implantation of New Leads after Extraction

  • Giulio Zucchelli
  • Ezio Soldati


The natural consequence of lead extraction procedures is the need for a subsequent device reimplantation. For this reason, when an extraction procedure is planned, the patient should be aware of the potential risks and complications related to both procedures and should be informed of potential alternatives in case of transvenous reimplantation failure. Reimplantation is not necessary in all the patients. The need for reimplantation after lead extraction cannot be always predicted before pacing/ defibrillating system removal. In previous published studies, reimplantation rate has been reported to vary from 48% to 87% of cases [1]–[3]; in our experience, according with other centers, reimplantation of a new device is usually not required in about 20% of patients [4], [5]. However, in all patients undergoing lead extraction, especially in case of previous infection, the ongoing need of a cardiac device should be reassessed [6].


Cardiac Resynchronization Therapy Coronary Sinus Implantable Cardioverter Defibrillator Superior Vena Cava Left Ventricular Lead 
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Copyright information

© Springer-Verlag Italia 2011

Authors and Affiliations

  • Giulio Zucchelli
    • 1
  • Ezio Soldati
    • 1
  1. 1.2nd Cardiovascular Department AOUPSanta Chiara University HospitalPisaItaly

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