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- W4214492057 abstract "Transvenous pacemaker and defibrillator lead extraction is a higher risk procedure with variation in preferred technique. A frequently fatal complication of this procedure is perforation of the superior vena cava. We have developed a tandem femoral-superior technique that incorporates snaring of targeted leads from a femoral approach combined with use of a rotational cutting sheath advanced over the lead from the subclavian vein.We sought to evaluate the safety and efficacy of a tandem femoral-superior approach to lead extraction.Consecutive patients undergoing transvenous extraction of at least 1 pacemaker or defibrillator lead with implant duration ≥1 year in which a tandem femoral-superior technique was used as the initial extraction strategy were included. The registry spanned 2010-2018 and consisted of procedures performed by a single primary operator.A total of 131 patients were included. A total of 267 leads with a mean implant duration of 9.8 years, including 90 defibrillator leads (33.7%), were targeted for extraction. No superior vena cava perforation or other vascular damage occurred. Clinical procedural success was achieved in 96.2% of cases. There were 5 major complications (3.8% of patients), with 3 being pericardial effusion requiring intervention. There were no deaths.A tandem femoral-superior approach to lead extraction effectively eliminated superior vena cava injury. This is a safe and effective technique for transvenous lead extraction." @default.
- W4214492057 created "2022-03-02" @default.
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- W4214492057 date "2022-07-01" @default.
- W4214492057 modified "2023-10-13" @default.
- W4214492057 title "Successful avoidance of superior vena cava injury during transvenous lead extraction using a tandem femoral-superior approach" @default.
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- W4214492057 doi "https://doi.org/10.1016/j.hrthm.2022.02.024" @default.
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