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When bigger is better: Novel use of a 27 F leadless pacemaker delivery sheath for femoral lead extractions

      As the implantation rate of cardiac implantable electronic devices has continued to increase, lead extractions for clinical indications such as infection, lead failure, and lead recall have also increased.
      • Kusumoto F.M.
      • Schoenfeld M.H.
      • Wilkoff B.L.
      • et al.
      2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction.
      A femoral approach to transvenous lead extractions is needed when removing previously cut and abandoned leads, leads that disrupt during a superior extraction attempt and in some cases involving central venous obstruction.
      • Mulpuru S.
      • Hayes D.
      • Osborn M.
      • et al.
      Femoral approach to lead extraction.

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      References

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        • Schoenfeld M.H.
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        • et al.
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        Heart Rhythm. 2017; 14: e503-e551
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