Advertisement

Click here for more guidelines.

 
 




CME Topic Collections Past Issues Search Current Issue Home
     

J Am Coll Cardiol, 1984; 3:724-731
© 1984 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Madigan, N.
Right arrow Articles by Murphy, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Madigan, N.
Right arrow Articles by Murphy, T.

Difficulty of extraction of chronically implanted tined ventricular endocardial leads

NP Madigan, JJ Curtis, JF Sanfelippo, and TJ Murphy

The dislodgment rate of permanent pacing ventricular and atrial endocardial leads has significantly decreased with the incorporation of tines as a fixation device. In contrast, transvenous manual extraction of chronically implanted endocardial leads is, at times, clinically indicated, particularly when pacemaker system infection is present. The success rate of such extraction attempts for ventricular endocardial leads over the past 5 years was reviewed. Extraction was usually successful (six of seven attempts) in patients with silicone rubber nontined (or short-tined) older ventricular endocardial leads (Group A). However, in patients with newer urethane long-tined ventricular endocardial leads (Group B), extraction was unsuccessful in three of four attempts. Because of entrapment of the distal electrode tip in the right ventricular apex, manual traction of these leads resulted in permanent conductor material stretching with resultant urethane insulator material breakage in the region of the joints with proximal and distal electrodes. The one successful extraction in Group B was technically difficult and appeared to create a significant risk of intracardiac lead separation. This experience indicates that with improved pacemaker lead design decreased lead dislodgment has been obtained at the cost of increased difficulty of ventricular endocardial lead extraction. Such difficulty should be anticipated when a clinical decision is made to attempt to extract the new urethane long-tined ventricular leads.


This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
J. G. Kwak, S.-J. Kim, J. Y. Song, E. Y. Choi, S. Y. Lee, W. S. Shim, C.-H. Lee, C. Lee, and C. S. Park
Permanent Epicardial Pacing in Pediatric Patients: 12-Year Experience at a Single Center
Ann. Thorac. Surg., February 1, 2012; 93(2): 634 - 639.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
M. Maytin and L. M. Epstein
The challenges of transvenous lead extraction
Heart, March 1, 2011; 97(5): 425 - 434.
[Full Text] [PDF]


Home page
EuropaceHome page
G. Stuart Mendenhall and S. Saba
Extraction of embolized lead tip from azygous vein using distal embolic protection device
Europace, October 1, 2010; 12(10): 1501 - 1502.
[Abstract] [Full Text] [PDF]


Home page
Circ Arrhythm ElectrophysiolHome page
M. Maytin, L. M. Epstein, and C. A. Henrikson
Lead Extraction Is Preferred for Lead Revisions and System Upgrades: When Less Is More
Circ Arrhythm Electrophysiol, August 1, 2010; 3(4): 413 - 424.
[Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
H. Murayama, M. Maeda, H. Sakurai, A. Usui, and Y. Ueda
Predictors affecting durability of epicardial pacemaker leads in pediatric patients.
J. Thorac. Cardiovasc. Surg., February 1, 2008; 135(2): 361 - 366.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J. D. R. Thomson, M. E. Blackburn, C. Van Doorn, A. Nicholls, and K. G. Watterson
Pacing activity, patient and lead survival over 20 years of permanent epicardial pacing in children
Ann. Thorac. Surg., April 1, 2004; 77(4): 1366 - 1370.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
F U. Ten Cate, J Breur, N Boramanand, J Crosson, A Friedman, J Brenner, E Meijboom, and N Sreeram
Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group
Heart, October 1, 2002; 88(4): 392 - 396.
[Abstract] [Full Text] [PDF]


Home page
Asian Cardiovasc. Thorac. Ann.Home page
R. A. Memon, J. Buckley, and A. O'Donnell
Percutaneous Extraction of Entrapped Infective Transvenous Pacing Lead
Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 69 - 71.
[Abstract] [Full Text] [PDF]



 
  CME Topic Collections Past Issues Search Current Issue Home

Advertisement