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