Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
Heart Rhythm. 2012 May;9(5):723-7. doi: 10.1016/j.hrthm.2011.12.012. Epub 2011 Dec 17.
There are limited published data regarding the percutaneous extraction of device leads jailed by a venous stent.
In this study we assessed the feasibility and safety of percutaneous extraction of stented device leads.
We reviewed our experience percutaneously extracting 7 chronically implanted device leads jailed to the wall of the left innominate and/or subclavian veins by a previously placed stent.
All leads were successfully extracted by using a percutaneous approach. Both pacing leads and defibrillator leads were extracted. The oldest pacing lead extracted was 14 years old. The oldest defibrillator lead extracted was 6 years old. Three of the leads were extracted with simple manual traction alone. The 4 remaining leads required a more complex, femoral extraction approach for successful removal.
In our experience extracting 7 stented device leads, complete percutaneous removal was feasible 100% of the time using a combination of simple manual traction and a femoral approach. No major complications were associated with the extraction procedures.
目前关于经皮提取被静脉支架困住的器械导线的数据有限。
本研究评估了经皮提取带支架器械导线的可行性和安全性。
我们回顾了经皮提取 7 根慢性植入的器械导线的经验，这些导线因先前放置的支架而被固定在左无名静脉和/或锁骨下静脉的壁上。
所有导线均成功通过经皮途径提取。提取了起搏导线和除颤器导线。提取的最古老的起搏导线已有 14 年历史。提取的最古老的除颤器导线已有 6 年历史。其中 3 根导线仅通过简单的手动牵引即可提取。其余 4 根导线需要更复杂的股动脉提取方法才能成功取出。
在我们的经验中，通过使用简单的手动牵引和股动脉入路相结合的方法，提取 7 根带支架的器械导线，完全经皮去除的成功率为 100%。提取过程无重大并发症。
