title: Recommendations for extraction of chronically implanted transvenous pacing and defibrillator leads: indications, facilities, training. North American Society of Pacing and Electrophysiology Lead Extraction Conference Faculty.
abstract: The procedure of lead removal has recently matured into a definable, teachable art with its own specific tools and techniques. It is now time to recognize and formalize the practice of lead removal according to the current methods of medicine and the health care industry. In addition, since at this time the only prospective scientific study of lead extraction is the PLEXES trial, we suggest that studies relating to the techniques of and indications for lead extraction be designed. Recommendations for a common set of definitions, for a framework of training and reviewing physicians in the art, for general methods of reimbursement, and for consistency among clinical trials have been made. Implementation of these recommendations will require additional effort and cooperation from practicing physicians, medical societies, hospital administrations, and industry.
authors.forename: C J
authors.initials: CJ
authors.lastname: Love
authors.forename: B L
authors.initials: BL
authors.lastname: Wilkoff
authors.forename: C L
authors.initials: CL
authors.lastname: Byrd
authors.forename: P H
authors.initials: PH
authors.lastname: Belott
authors.forename: J A
authors.initials: JA
authors.lastname: Brinker
authors.forename: N E
authors.initials: NE
authors.lastname: Fearnot
authors.forename: R A
authors.initials: RA
authors.lastname: Friedman
authors.forename: S
authors.initials: S
authors.lastname: Furman
authors.forename: L B
authors.initials: LB
authors.lastname: Goode
authors.forename: D L
authors.initials: DL
authors.lastname: Hayes
authors.forename: D T
authors.initials: DT
authors.lastname: Kawanishi
authors.forename: V
authors.initials: V
authors.lastname: Parsonnet
authors.forename: C
authors.initials: C
authors.lastname: Reiser
authors.forename: H J
authors.initials: HJ
authors.lastname: Van Zandt
mesh_terms: D006348:Cardiac Surgical Procedures; D002406:Catheterization, Peripheral / Q000379:methods / Q000592:standards; D017147:Defibrillators, Implantable; D006801:Humans; D010138:Pacemaker, Artificial; D011475:Prosthesis Failure; D012086:Reoperation