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Femoral Approach to Lead Extraction
Author(s) -
MULPURU SIVA K.,
HAYES DAVID L.,
OSBORN MICHAEL J.,
ASIRVATHAM SAMUEL J.
Publication year - 2015
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.12564
Subject(s) - medicine , femoral vein , lead (geology) , extraction (chemistry) , surgery , chemistry , chromatography , geomorphology , geology
Femoral Extraction Laser and radiofrequency energy–assisted lead extraction has greatly facilitated this complex procedure. Although success rates are high, in some instances alternate methods of extraction are required. In this review, we discuss techniques for femoral extraction of implanted leads and retained fragments. The major tools available, including commonly used snares and delivery tools, are discussed. We briefly describe combined internal jugular and femoral venous extraction approaches, as well as complimentary utilization of more than one technique via the femoral vein. Animated and procedural sequences are included to help the reader visualize the key components of these techniques.