Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · Dec 2011
Lead implant duration does not always predict ease of extraction: extraction sheath may be required at < 1 year.
Lead implant duration is a predictor of extraction sheath (ES) use in transvenous lead extraction (TLE). Most operators agree that leads with short implant durations can be extracted easily but data regarding defibrillator (implantable cardioverter-defibrillator [ICD]) leads and newer generation leads with backfilled coils are limited. ⋯ While leads with short implant durations may be extracted easily, the need for ES assistance is significant and frequently unpredictable even with newer generation ICD leads. Thus, operators should be fully prepared to use all available methods of extraction in every case regardless of implant duration.