PJ3-068 Experience of Cardiovascular Implantable Electronic Device Extraction

Nobuhiro Nishii, Motoki Kubo, Koii Nakaaawa, Masamichi Tanaka, Satoshi Nagase, Hiroshi Morita, Kengo Kusano, Hiroshi Itoh, Masami Takagaki, Shunji Sano, Shoda Morio

Research output: Contribution to journalArticle

Abstract

As the number of cardiovascular implantable electronic device (CIED) implantation is increasing, the number of complication is also increasing such as infection, lead fracture or lead perforation. In Japan, we have been able to use Excimer laser since July 2010, we could extract CIED with minimum injury. In our hospital, we have had 15 patients who needed of CIED extraction, including those referred to our hospital.The main reason of CIED extraction was CIED infection in 13 of 15 patients. CIED in 8 patients were extracted by Excimer laser. CIED in 5 of 8 patients were extracted in our hospital. Ten leads in 5 patients could be extracted percutaneously. However, one patient was necessary of sternotomy because we could not catch the lead percutaneously from left subclavian approach and could not extract from femoral approach. After sternotomy, we could catch the lead from innominate vein, and we could extract it by Excimer laser.Seven of 10 leads, one was ICD lead and 6 were pacemaker leads, were extracted by Excimer laser. The mean period from implantation to extraction was 7.6 years and the mean extraction time was 47 minutes. All 7 leads in 5 patients were successfully explanted with no complication.

Original languageEnglish
JournalJournal of Arrhythmia
Volume27
DOIs
Publication statusPublished - 2011

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Keywords

  • excimer laser
  • extraction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Nishii, N., Kubo, M., Nakaaawa, K., Tanaka, M., Nagase, S., Morita, H., Kusano, K., Itoh, H., Takagaki, M., Sano, S., & Morio, S. (2011). PJ3-068 Experience of Cardiovascular Implantable Electronic Device Extraction. Journal of Arrhythmia, 27. https://doi.org/10.4020/jhrs.27.PJ3_068