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Practical Approaches to Transvenous Lead Extraction Procedures—Clinical Case Series

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  • Paul-Mihai Boarescu

    (Department of Pharmacology, Toxicology and Clinical Pharmacology, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca, Gheorghe Marinescu Street, No. 23, 400337 Cluj-Napoca, Romania
    “Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street, No. 19-21, 400001 Cluj-Napoca, Romania)

  • Iulia Diana Popa

    (“Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street, No. 19-21, 400001 Cluj-Napoca, Romania)

  • Cătălin Aurelian Trifan

    (“Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street, No. 19-21, 400001 Cluj-Napoca, Romania
    Department of Cardiovascular Surgery, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 19-21 Calea Moților Street, 400001 Cluj-Napoca, Romania)

  • Adela Nicoleta Roşian

    (“Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street, No. 19-21, 400001 Cluj-Napoca, Romania)

  • Ştefan Horia Roşian

    (“Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street, No. 19-21, 400001 Cluj-Napoca, Romania
    Department of Cardiology—Heart Institute, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 19-21 Calea Moților Street, 400001 Cluj-Napoca, Romania)

Abstract

Transvenous lead extraction (TLE) is regarded as the first-line strategy for the management of complications associated with cardiac implantable electronic devices (CIEDs), when lead removal is mandatory. The decision to perform a lead extraction should take into consideration not only the strength of the clinical indication for the procedure but also many other factors such as risks versus benefits, extractor and team experience, and even patient preference. TLE is a procedure with a possible high risk of complications. In this paper, we present three clinical cases of patients who presented different indications of TLE and explain how the procedures were successfully performed. In the first clinical case, TLE was necessary because of device extravasation and suspicion of CIED pocket infection. In the second clinical case, TLE was necessary because occlusion of the left subclavian vein was found when an upgrade to cardiac resynchronization therapy was performed. In the last clinical case, TLE was necessary in order to remove magnetic resonance (MR) non-conditional leads, so the patient could undergo an MRI examination for the management of a brain tumor.

Suggested Citation

  • Paul-Mihai Boarescu & Iulia Diana Popa & Cătălin Aurelian Trifan & Adela Nicoleta Roşian & Ştefan Horia Roşian, 2022. "Practical Approaches to Transvenous Lead Extraction Procedures—Clinical Case Series," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:379-:d:1015718
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    References listed on IDEAS

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    1. Andrzej Kutarski & Wojciech Jacheć & Anna Polewczyk & Dorota Nowosielecka & Maria Miszczak-Knecht & Monika Brzezinska & Katarzyna Bieganowska, 2022. "Transvenous Lead Extraction in Adult Patient with Leads Implanted in Childhood-Is That the Same Procedure as in Other Adult Patients?," IJERPH, MDPI, vol. 19(21), pages 1-17, November.
    2. Łukasz Tułecki & Anna Polewczyk & Wojciech Jacheć & Dorota Nowosielecka & Konrad Tomków & Paweł Stefańczyk & Jarosław Kosior & Krzysztof Duda & Maciej Polewczyk & Andrzej Kutarski, 2021. "Analysis of Risk Factors for Major Complications of 1500 Transvenous Lead Extraction Procedures with Especial Attention to Tricuspid Valve Damage," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    3. Marek Czajkowski & Wojciech Jacheć & Anna Polewczyk & Jarosław Kosior & Dorota Nowosielecka & Łukasz Tułecki & Paweł Stefańczyk & Andrzej Kutarski, 2021. "The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction," IJERPH, MDPI, vol. 18(18), pages 1-17, September.
    4. Dorota Nowosielecka & Wojciech Jacheć & Anna Polewczyk & Łukasz Tułecki & Andrzej Kleinrok & Andrzej Kutarski, 2021. "Prognostic Value of Preoperative Echocardiographic Findings in Patients Undergoing Transvenous Lead Extraction," IJERPH, MDPI, vol. 18(4), pages 1-20, February.
    5. Łukasz Tułecki & Anna Polewczyk & Wojciech Jacheć & Dorota Nowosielecka & Konrad Tomków & Paweł Stefańczyk & Jarosław Kosior & Krzysztof Duda & Maciej Polewczyk & Andrzej Kutarski, 2021. "A Study of Major and Minor Complications of 1500 Transvenous Lead Extraction Procedures Performed with Optimal Safety at Two High-Volume Referral Centers," IJERPH, MDPI, vol. 18(19), pages 1-13, October.
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