Extraction of cardiac leads and electrodes will continue to be a statistical necessity
as electrode implant numbers and durations increase. Improved implant success and
expanded indications in heart failure patients for left ventricular (LV) pacing electrodes
via the coronary sinus (CS) and its branches have resulted in unique interactions
among the leads, venous system, and epicardial heart that are not typically seen with
traditional endocardial right heart cardiac electrodes. LV lead placement, as well
as the myocardium’s response to it, requires continual evaluation to better understand
the limitations that may be encountered during extraction of LV leads, especially
as the mean duration of implant reaches beyond 1 year.
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References
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Article info
Publication history
Published online: October 08, 2007
Footnotes
Dr. Burke has received honoraria for lectures and procedural proctoring from Spectranetics, Inc. There are no other conflicts with this article.
Identification
Copyright
© 2008 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.
