title: Complex lead extraction via subclavian approach using laser technique.
abstract: Removal of fully intravascular pacing leads may be cumbersome. Herein, we report a technique that may be used to remove intravascular leads using laser technology through a subclavian approach, and discuss the process of lead removal as well as management of potential bleeding from the surgical site. We also address the advantages and pitfalls of this technique as compared to other surgical options.
authors.affiliation: Division of Cardiothoracic Surgery, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Hassan
authors.forename: Tomas A
authors.initials: TA
authors.lastname: Salerno
authors.forename: Anthony L
authors.initials: AL
authors.lastname: Panos
authors.forename: Marco
authors.initials: M
authors.lastname: Ricci
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted; D005471:Fluoroscopy; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D013350:Subclavian Vein / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*