Abstract Based on the published results primarily from cohort studies, percutaneous lead extraction is now considered a safe procedure and indications for its use have broadened from device-related infections to less strict indications, such as recurrent isolated bacteremia, asymptomatic upper vein occlusion and malfunctioning/redundant leads. Almost 50% of electrophysiologists consider lead extraction in these latter situations. To broaden its implementation, further prospective evaluation against conservative approaches is still needed. Rather than only aiming at short-term results, this technique should be integrated into wide-ranging tailored long-term strategies to manage all of the different issues of implanted patients
From lead management to implanted patient management: indications to lead extraction in pacemaker and cardioverter-defibrillator systems / Diemberger, I; Biffi, M; Martignani, C; Boriani, Giuseppe. - In: EXPERT REVIEW OF MEDICAL DEVICES. - ISSN 1743-4440. - 8:2(2011), pp. 235-255. [10.1586/erd.10.80]
From lead management to implanted patient management: indications to lead extraction in pacemaker and cardioverter-defibrillator systems
BORIANI, Giuseppe
2011
Abstract
Abstract Based on the published results primarily from cohort studies, percutaneous lead extraction is now considered a safe procedure and indications for its use have broadened from device-related infections to less strict indications, such as recurrent isolated bacteremia, asymptomatic upper vein occlusion and malfunctioning/redundant leads. Almost 50% of electrophysiologists consider lead extraction in these latter situations. To broaden its implementation, further prospective evaluation against conservative approaches is still needed. Rather than only aiming at short-term results, this technique should be integrated into wide-ranging tailored long-term strategies to manage all of the different issues of implanted patients
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