Successful removal of stented leads by using percutaneous approach
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1st Department of Cardiology, Medical University of Warsaw
Department of Cardiology, Medical University of Lublin
Szymon Jonik   

1st Department of Cardiology, Medical University of Warsaw, ul. Banacha 1 a, 02-097 Warszawa, Poland
Publication date: 2017-12-17
Heart Beat 2017;2:22–26
Background: Nowadays we are implanting more CIED systems with intracardial leads. Unfortunately, sometimes when the lead is too long in the vessel it adheres to its wall causing venous occlusion and the removal is problematic. Venous occlusion is treated with venoplasty with stent remaining. The standards clearly recommend removing all leads before venoplasty and stenting. Stenting of leads into the vessel wall makes them practically indelible. In the literature, we found only one report of successful removal of veno-thoracic stented leads. Methods: We present two cases who did not have all leads removed before venoplasty with stent implantation. Results: All stented 4 leads in two patients were successfully extracted by using a percutaneous approach. The oldest pacing lead extracted was 17 years old, while the oldest stent 11. Conclusion: Removal of stented leads is a serious challenge, but may be safe and effective if the minimally invasive equipment is assured.