Arrhythmias & electrophysiology

Utility of a multipurpose catheter for transvenous extraction of old broken leads: A novel technique for fragile leads

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

All distal tip-to-proximal ring electrode separated leads were successfully removed using laser and other sheaths with the assistance of a multipurpose catheter, without any part of the leads remaining in the heart.

Study context

Population
Patients undergoing transvenous lead extraction (TLE) with separation of the proximal ring electrode and outer conductor coil from the inner conductor and distal tip, April 2014 to March 202120 with lead separation
Participants
345 patients
Outcome
Complete removal of separated leads using a multipurpose catheter
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Complete extraction of separated leads
Leads implanted >10 years with lead separation
27

Observational data: associations, not effects.

Further findings

Extraction tools used

Laser + Byrd sheath
15
Laser + Byrd sheath + Evolution RL
2
Laser + Evolution RL
3
Byrd sheath + Evolution RL
1
Byrd sheath only
4
Evolution RL only
2

Original publication

Utility of a multipurpose catheter for transvenous extraction of old broken leads: A novel technique for fragile leads. Heart Rhythm. Published 29 March 2023. doi:10.1016/j.hrthm.2023.03.209

Composed by AI from the published abstract and checked against it. How Briefs are made →

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