title: Coronary Sinus Lead Extraction.
abstract: Expanded indications for cardiac resynchronization therapy and the increasing incidence of cardiac implantable electronic device infection have led to an increased need for coronary sinus (CS) lead extraction. The CS presents unique anatomical obstacles to successful lead extraction. Training and facility requirements for CS lead extraction should mirror those for other leads. Here we review the indications, technique, and results of CS lead extraction. Published success rates and complications are similar to those reported for other leads, although multiple techniques may be required. Re-implantation options may be limited, which should be incorporated into pre-procedural decision making.
authors.affiliation: Division of Cardiology, Hartford Hospital, 80 Seymour Street PO Box 5037, Hartford CT 06102, USA. Electronic address: edmond.cronin@hhchealth.org.
authors.forename: Edmond M
authors.initials: EM
authors.lastname: Cronin
authors.affiliation: Department of Cardiovascular Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA.
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Wilkoff
mesh_terms: D058409:Cardiac Resynchronization Therapy Devices / Q000009:adverse effects*; D054326:Coronary Sinus / Q000601:surgery*; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D019317:Evidence-Based Medicine; D006333:Heart Failure / Q000150:complications / Q000517:prevention & control*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000517:prevention & control
keywords: Cardiac resynchronization therapy; Coronary sinus; Lead extraction