Mulpuru Siva K, Hayes David L, Osborn Michael J, Asirvatham Samuel J
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.
J Cardiovasc Electrophysiol. 2015 Mar;26(3):357-61. doi: 10.1111/jce.12564. Epub 2014 Nov 11.
Laser and radiofrequency energy-assisted lead extraction has greatly facilitated this complex procedure. Although success rates are high, in some instances alternate methods of extraction are required. In this review, we discuss techniques for femoral extraction of implanted leads and retained fragments. The major tools available, including commonly used snares and delivery tools, are discussed. We briefly describe combined internal jugular and femoral venous extraction approaches, as well as complimentary utilization of more than one technique via the femoral vein. Animated and procedural sequences are included to help the reader visualize the key components of these techniques.
激光和射频能量辅助导线拔除术极大地推动了这一复杂手术。尽管成功率很高，但在某些情况下仍需要其他拔除方法。在本综述中，我们讨论了植入导线和残留碎片的股静脉拔除技术。文中讨论了现有的主要工具，包括常用的圈套器和输送工具。我们简要描述了颈内静脉和股静脉联合拔除方法，以及通过股静脉联合使用多种技术的方法。文中还包含动画和手术步骤，以帮助读者直观了解这些技术的关键组成部分。
