Three‐Year Experience with a Stylet for Lead Extraction: A Multicenter Study

Abstract

The experience with this extraction stylet for lead removal has shown good results. Despite a low complication rate thus far, each case for lead removal should be judged on the individual basis of benefit-to-risk ratio.

Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique

“…Therefore, various extraction techniques have been tried to improve the success rate of complete lead removal. They include direct traction with rotational forces,10) traction with locking stylet,11) counter-traction with dilating sheath,3)4) femoral workstation,12) laser sheath,13) and electrosurgical sheath 14). Traction and counter-traction using locking stylet and dilating sheath is a conventional technique for pacemaker and ICD lead extraction.…”

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“…10 Fortunately, no infection recurred in any of the patients in the present study. Our complete success rate of 85% is comparable to those of other percutaneous extraction methods, which have reported success rates varying between 81% and 95%.…”

Pacemaker lead complications: when is extraction appropriate and what can we learn from published data?

“…With the use of only locking stylets, Alt et al achieved total removal of 81% of 150 leads, partial removal of 12%, and failure in 7% 6. There were no major complications.…”

“…4 5 In the superior vena cava approach, a locking stylet is introduced into the lead and locked close to the distal electrode in order to apply traction directly to the tip 6. If gentle traction is not successful, telescoping sheaths can be advanced over the lead to disrupt fibrous binding of the lead to veins or myocardium.…”