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Transvenous Lead Extraction

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Acute

What is Transvenous Lead Extraction?

This device consists of a sheath (long tube) wrapped in laser fiber optics that is advanced through the targeted vein and over the lead. Laser energy cuts through the scar tissue surrounding the lead, allowing it to be safely removed.

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This major complication can be resolved if treated quickly using a sternotomy and surgical repair, but in rare cases of rapid and massive blood loss, death is often the outcome. Superior vena cava tears are other lethal complications in transvenous lead extraction.

Pulmonary embolism, hemothorax, hemopericardium, and ghost appearance in echo are less common consequences. In addition, the longer the dwelling time of the leads, the greater the chance of infection due to an increase in lead adhesions and fibrous tissue that has made the procedure unsafe as time passes.

  • Infection.
  • Inappropriate positioning of the lead.
  • Lead failure, also called lead fracture.
  • Upgrading device with a newer model.
  • Upgrade to allow for MRI scanning.
  • Large amounts of scar tissue forming at the tip of the lead.

Oral risk factors, including chronic kidney disease (CKD), chronic heart failure (CHF), anemia, and significant weight loss, can raise the chance of CIED extraction complications

This major complication can be resolved if treated quickly using a sternotomy and surgical repair, but in rare cases of rapid and massive blood loss, death is often the outcome. Superior vena cava tears are other lethal complications in transvenous lead extraction.

How is it diagnosed?

How is it diagnosed?

Most frequently, the subclavian approach is used. After this process is completed, a special sheath (tube) is placed in the vein. This sheath is threaded over the lead and guided to the tip of the lead (where the lead attaches to the heart). Once in place, your doctor will proceed to remove the lead(s).

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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

Most frequently, the subclavian approach is used. After this process is completed, a special sheath (tube) is placed in the vein. This sheath is threaded over the lead and guided to the tip of the lead (where the lead attaches to the heart). Once in place, your doctor will proceed to remove the lead(s).

 

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