Coronary sinus lead extraction - a single center experience

Panday, Manoj; Mehra, Aditya; Chandela, Sweta; Saari, Christine S.; Kutalek, Steven P.

doi:10.1016/j.hrthm.2005.02.627

Cited by 1 publication

(2 citation statements)

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“…7 Manual traction alone was reported to be sufficient to extract the majority of CS leads that have been implanted up to 4 years. 10,11 On the other hand, the extraction of active fixation coronary sinus leads, specially the Attain Starfix 4195 lead (Medtronic), is technically more challenging compared to passive leads. 12,13 In a series of 12 extractions, all leads required the use of specialized extraction tools and one lead required surgical removal after failure of transvenous extraction.…”

Section: Discussionmentioning

confidence: 99%

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Hybrid transvenous and surgical approach for the extraction of coronary sinus leads: A case series

Ahmed

Arabia

Valsecchi

et al. 2022

Pacing Clinical Electrophis

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Background Transvenous lead extraction is the standard therapy for cardiac device‐related infection. In some patients, however, a hybrid surgical and transvenous approach may be necessary. Methods and Results We present three cases who underwent transvenous lead extraction for an infected CRT‐D system. In all cases the CS lead could not be retrieved transvenously due to extensive fibrosis. The lead was successfully extracted through left minithoracotomy in two patients and midline sternotomy in one patient. Conclusion In cases where the coronary sinus lead shows severe fibrosis, a transvenous approach can be used to free the proximal part of the lead, while the distal adhesions can be removed surgically through a limited thoracic incision.

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Section: Discussionmentioning

confidence: 99%

“…Compared to right atrial and right ventricular leads, extraction of CS leads had comparable success and complication rates 7 . Manual traction alone was reported to be sufficient to extract the majority of CS leads that have been implanted up to 4 years 10,11 …”

Section: Discussionmentioning

confidence: 99%