title: Percutaneous extraction of stented device leads.
abstract: BACKGROUND
  There are limited published data regarding the percutaneous extraction of device leads jailed by a venous stent.
  
  
  OBJECTIVE
  In this study we assessed the feasibility and safety of percutaneous extraction of stented device leads.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA. baranob@ccf.org
authors.forename: Bryan
authors.initials: B
authors.lastname: Baranowski
authors.forename: Oussama
authors.initials: O
authors.lastname: Wazni
authors.forename: Roy
authors.initials: R
authors.lastname: Chung
authors.forename: David O
authors.initials: DO
authors.lastname: Martin
authors.forename: John
authors.initials: J
authors.lastname: Rickard
authors.forename: Christine
authors.initials: C
authors.lastname: Tanaka-Esposito
authors.forename: Mohammed
authors.initials: M
authors.lastname: Bassiouny
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Wilkoff
mesh_terms: D000369:Aged, 80 and over; D017147:Defibrillators, Implantable; D020878:Device Removal / Q000009:adverse effects / Q000379:methods*; D004566:Electrodes; D004567:Electrodes, Implanted; D004868:Equipment Failure; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013350:Subclavian Vein / Q000473:pathology; D016896:Treatment Outcome