Abstract
Since 1965 transvenous lead implantation for cardiac pacing has been the routine treatment for bradyarrhythmias. At the end of 1980s, the implantable car- dioverter defibrillator (ICD) was considered the first-line therapy for tach- yarrhythmia management, and in recent years new ICD indications for the primary prevention of sudden death have been added. Moreover, biventricular pacing for the treatment of congestive heart failure has been recently introduced. Thus, the number of implantable devices with a growing number of leads is increasing day after day.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Byrd CL, Schwartz SJ, Hedin N (1992) Lead extraction: indications and techniques. Cardiol Clin 10:735–748
North American Society of Pacing and Electrophysiology Lead Extraction Conference Faculty (2000) Recommendations for extraction of chronically implanted transvenous pacing and defibrillator leads: indications, facilities, training. Pacing Clin Electrophysiol 23:544–551
Smith HH, Fearnot NE, Byrd CL et al (1994) Five-year experience with intravascular lead extraction. Pacing Clin Electrophysiol 1711:2016–2020
Tyers GFO (2000) Lead extraction methods (abstr). Europace l(suppl):D45
Manolis AS, Maounis TN, Vassilikos V, Chiladakis J, Melita-Manolis H, Cokkinos DV (2001) Ancillary tools in pacemaker and defibrillator lead extraction using a novel lead removal system. Pacing Clin Electrophysiol 24:282–287
Kennergren C, Schaerf RHM, Duncan Sellers T et al (2000) Cardiac lead extraction with a novel locking stylet. J Interv Cardiac Electrophysiol 4:591–593
Epstein AE, Kay GN, Plumb VJ, Dailey SM, Anderson PG (1998) Gross and microscopic pathological changes associated with nonthoracotomy implantable defibrillator leads. Circulation 98:1517–1524
Reiser C, Taylor K (1997) Excimer laser catheter for pacing lead removal. Soc Photooptic Instrum Eng Proc 2970:80–84
Reiser C, Taylor K, Lippincott R (1998) Large laser sheaths for pacing and defibrillator lead removal. Lasers Surg Med 22:42–45
Kennergren C (1998) First European experience using excimer laser for the extraction of permanent pacemakerleads. Pacing Clin Electrophysiol 21:268–270
Bracke FA, Meijer A, van Gelder B (1998) Learning curve characteristics of pacing lead extraction with a laser sheath. Pacing Clin Electrophysiol 21:2309–2313
Wilkoff BL, Byrd CL, Love CJ et al (1999) Pacemaker lead extraction with the laser sheath: results of the Pacing Lead Extraction with the Excimer Sheath (PLEXES) trial. J Am Coll Cardiol 33:1671–1676
Kennergren C, on behalf of the PLESSE (Pacing Lead Extraction Surveillance Study in Europe) investigators group (1999) Excimer laser assisted extraction of permanent pacemaker and ICD leads: present experiences of a European multi-centre study. Eur J Cardiothoracic Surg 15:856–860
Epstein LM, Byrd CL, Wilkoff BL et al (1999) Initial experience with larger laser sheaths for the removal of transvenous pacemaker and implantable defibrillator leads. Circulation 100:516–525
Levy T, Walker S, Paul V (1999) Initial experience in the extraction of chronically implanted pacemaker leads using excimer laser sheath. Heart 82:101–104
Parsonnet V, Roelke M, Trivedi A, Rizvi SA, Pervez A (2001) Laser extraction of entrapped leads. Pacing Clin Electrophysiol 24:329–332
Bracke FA, Meijer A, van Gelder B (2001) Endovascular extraction techniques. Part 3: results and indications in patients with an ICD. Neth Heart J 9:117–122
Gilligan DM, Dan D (2001) Excimer laser for pacemaker and defibrillator lead extraction: techniques and clinical results. Lasers Med Sci 16:113–121
Byrd CL, Wilkoff BL, Love CJ, Duncan Sellers T, Reiser C (2002) Clinical study of the laser sheath for lead extraction: the total experience in the United States. Pacing Clin Electrophysiol 25:804–808
Bracke FA, Meijer A, van Gelder B (2002) Extraction of pacemaker and implantable cardioverter defibrillator leads: patients and lead characteristics in relation to the requirement of extraction tools. Pacing Clin Electrophysiol 25:1037–1040
Bracke FALE, Meijer A, van Gelder LM (2002) Use of a laser sheath to obtain venous access in pacemaker lead-related obstruction without extraction of the lead. Europace 4:67–68
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Italia
About this paper
Cite this paper
Gasparini, G., Rossillo, A., Giada, F., Corrado, A., Raviele, A. (2004). Pacemaker/ICD Lead Extraction Using the Excimer Laser Sheath: What Are the Advantages and What Are the Risks?. In: Raviele, A. (eds) Cardiac Arrhythmias 2003. Springer, Milano. https://doi.org/10.1007/978-88-470-2137-2_119
Download citation
DOI: https://doi.org/10.1007/978-88-470-2137-2_119
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2177-8
Online ISBN: 978-88-470-2137-2
eBook Packages: Springer Book Archive