During the removal or replacement of device leads, it is often desirable to retain
vascular access, which removes any risk of complications from venous cannulation techniques.
In this article, I describe a rapid, safe, and flexible technique for the replacement
of a nonadherent device lead while preserving vascular access.
Keywords
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References
- Complications of pacemakers and defibrillators in the elderly.Am J Geriatr Cardiol. 2007; 15: 102-107
- Use of a laser sheath to obtain venous access in pacemaker lead-related obstruction without extraction of the lead.Europace. 2002; 4: 67-68
- Extraction of transvenous pacing and ICD leads.Pacing Clin Electro. 2008; 31: 736-752
Article info
Publication history
Published online: July 07, 2011
Accepted:
June 28,
2011
Received:
June 23,
2011
Identification
Copyright
© 2011 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Letter to the Editor—Retaining vascular access during lead replacementHeart RhythmVol. 9Issue 3
- PreviewI read with interest the article by Mendenhall1 in the November 2011 issue of HeartRhythm. The author describes a novel technique for retaining vascular access during lead replacement. This is absolutely a critical issue when dealing with lead removal or upgrading procedures in which a new lead(s) must be implanted. The author mentions the possibility of retaining vascular access by using the laser-assisted tract technique as the only currently available alternative to his new description.2 However, it should be acknowledged that Antonelli et al3 previously described a simple and elegant method for the same purpose.
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