Hands on| Volume 8, ISSUE 11, P1812-1814, November 2011

A straightforward, reliable technique for retaining vascular access during lead replacement

  • G. Stuart Mendenhall
    Address reprint requests and correspondence: Dr G. Stuart Mendenhall, MD, UPMC Cardiovascular Institute, University of Pittsburgh, 200 Lothrop Street B535, Pittsburgh, PA 15213
    UPMC Cardiovascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania
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      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.


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      Linked Article

      • Letter to the Editor—Retaining vascular access during lead replacement
        Heart RhythmVol. 9Issue 3
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          I 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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