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Laser Extraction of Entrapped Leads
Author(s) -
PARSONNET VICTOR,
ROELKE MARC,
TRIVEDI ABHAY,
RIZVI SYED A.,
PERVEZ ARSHAD
Publication year - 2001
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2001.00329.x
Subject(s) - medicine , extractor , excimer laser , superior vena cava , median sternotomy , extraction (chemistry) , surgery , atrium (architecture) , laser , cardiology , atrial fibrillation , optics , process engineering , chromatography , chemistry , physics , engineering
Parsonnet, V., et al. : Laser Extraction of Entrapped Leads. Removing entrapped pacing and defibrillator leads has been greatly simplified by making use of the excimer laser extractor. Sixty‐two leads were successfully removed, although where appropriate, portions of the lead remained in place in 10 cases. There were two serious complications, one tear of the superior vena cava during an ICD extraction and one tear of the atrium during an atrial lead extraction. Both were controlled successfully through emergency sternotomy. Although extracting entrapped leads has been much simplified by making use of the laser extractor, the process is not free of serious complications. Those involved in explanting leads should be aware of the outcomes and be prepared for emergent management.