Safety and Feasibility of Coronary Sinus Left Ventricular Leads Extraction: A Preliminary Report

Abstract

our study suggests that CS leads could be easily and safely removed without any complication, also when placed in a CS branch, at least for relatively young catheters.

Multicenter Experience with Transvenous Lead Extraction of Active Fixation Coronary Sinus Leads

“…Of the three cases that required ES assistance, only one was observed to have formed a fibrotic attachment to the CS. In contrast, De Martino et al 15 reported on a series of 12 patients with passive fixation CS leads implanted for a similar length of time (mean 13.9 ± 11.7; range, 3–46 months) with all cases achieving successful removal with direct traction alone. They identified scar formation in the superior vena cava and lead‐lead binding as adhesion sites.…”

Pacemaker and Defibrillator Lead Extraction: Predictors of Mortality during Follow-Up

“…The latter will also lead to an increasing requirement for coronary sinus lead extraction. Experience in removal of these leads is being published 16–19 . The CS leads that were part of CRT devices were all removed with gentle traction.…”

Extraction of Implantable Cardiac Electronic Devices

“…Of note, 4 of the 13 patients had leads that were less than 6 months old [22]. De Martino et al [23] reported 12 CS consecutive successful lead extractions in which the leads were 13.9±11.7 months old (3 were <6 months old). In all cases, manual traction was all that was required for lead removal [23].…”

“…De Martino et al [23] reported 12 CS consecutive successful lead extractions in which the leads were 13.9±11.7 months old (3 were <6 months old). In all cases, manual traction was all that was required for lead removal [23]. Burke et al [24] reported on 10 cases of CS lead extraction, seven of which were implanted less than 6 months.…”