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Coronary Sinus Lead Extraction
Author(s) -
FRANK G.,
TYERS O.,
CLARK JACQUIE,
WANG YAN,
MILLS PAULINE,
BASHIR JAMIL
Publication year - 2003
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.1460-9592.2003.00087.x
Subject(s) - medicine , coronary sinus , lead (geology) , fluoroscopy , surgery , cardiology , geomorphology , geology
TYERS, G.F.O., et al .: Coronary Sinus Lead Extraction.Complications are reported more frequently with the implantation of coronary sinus (CS) than other types of leads, and attempts to extract CS leads may also be associated with increased risks. The authors have performed nonthoracotomy lead extraction (LE) since 1981 and maintained a detailed database. By November 2001, 796 leads had been removed from 401 patients. We undertook review of our CS‐LE experience to evaluate prevalence, safety, and efficacy. Of 14 patients referred for CS‐LE, 7 were treated in the last year. In six the lead had been placed in the CS intentionally, and in eight inadvertently. One recent patient treated with biventricular pacing was septic and died before LE was undertaken. In nine men and four women (mean age 66 years) had one each CS lead and a total of 34 LEs (2.6/patient). Four CS leads had been in place for <6 months (mean 1.5 month), whereas nine had been in place for between 6 months and 27 years. Several LE methods were used, from simple traction to the use of intraluminal locking stylets and powered sheaths. Complete removal of all leads was achieved in all patients. CS‐LE required a mean of 13 minutes, including 1.8 minutes of fluoroscopy. There were no serious complications during the procedures, and the mean hospital stay was 4 days. (PACE 2003; 26[Pt. II]:524–526)