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Three-Year Experience with a Stylet for Lead Extraction: A Multicenter Study.

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Title: Three-Year Experience with a Stylet for Lead Extraction: A Multicenter Study.
Authors: Alt, Eckhard1, Neuzner, Jörg2, Binner, Ludwig3, Göhl, Konrad4, Res, Johan C. J.5, Ulf-Heinrich Knabe6, Zehender, Manfred7, Reinhardt, Jörg8
Source: Pacing & Clinical Electrophysiology. Jan1996, Vol. 19 Issue 1, p18-25. 8p.
Subjects: Cardiac pacemakers, Implantable cardioverter-defibrillators, Cardiac pacing, Medical equipment, Biomedical engineering, Medical supplies
Abstract: Introduction: The extraction of chronically implanted and infected pacemaker and defibrillator leads is an important issue. This article describes the experience gathered between 1990 and 1994 by seven European centers regarding a locking stylet that is uniformly applicable for a wide variety of internal pacing coil diameters. This interventional locking stylet for lead extraction has an outer diameter of 0.4 mm (0.016 inches). The stylet consists of a hollow shaft in which an inner traction wire is embedded. At the tip of the inner traction wire an anchoring mechanism, which can be opened by retraction, is applied. Removal attempts were made for 150 leads, 110 in ventricular and 40 in atrial positions. Results: Complete removal was possible in 122 cases (81%). Partial removal was possible in 18 cases (12%). Failure to remove the lead with the extraction stylet was experienced in 10 cases (7%). In seven patients, the leads were removed by cardiothoracic surgery; 3 defective leads were left in place. There were no serious complications associated with the procedure. None of the patients died. Conclusion: The experience with this extraction stylet for lead removal has shown good results. Despite a low complication rate thus far. each case for lead removal should be judged on the individual basis of benefit-to-risk ratio. [ABSTRACT FROM AUTHOR]
Copyright of Pacing & Clinical Electrophysiology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Three-Year Experience with a Stylet for Lead Extraction: A Multicenter Study.
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  Data: <searchLink fieldCode="JN" term="%22Pacing+%26+Clinical+Electrophysiology%22">Pacing & Clinical Electrophysiology</searchLink>. Jan1996, Vol. 19 Issue 1, p18-25. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Cardiac+pacemakers%22">Cardiac pacemakers</searchLink><br /><searchLink fieldCode="DE" term="%22Implantable+cardioverter-defibrillators%22">Implantable cardioverter-defibrillators</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiac+pacing%22">Cardiac pacing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+equipment%22">Medical equipment</searchLink><br /><searchLink fieldCode="DE" term="%22Biomedical+engineering%22">Biomedical engineering</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+supplies%22">Medical supplies</searchLink>
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  Data: Introduction: The extraction of chronically implanted and infected pacemaker and defibrillator leads is an important issue. This article describes the experience gathered between 1990 and 1994 by seven European centers regarding a locking stylet that is uniformly applicable for a wide variety of internal pacing coil diameters. This interventional locking stylet for lead extraction has an outer diameter of 0.4 mm (0.016 inches). The stylet consists of a hollow shaft in which an inner traction wire is embedded. At the tip of the inner traction wire an anchoring mechanism, which can be opened by retraction, is applied. Removal attempts were made for 150 leads, 110 in ventricular and 40 in atrial positions. Results: Complete removal was possible in 122 cases (81%). Partial removal was possible in 18 cases (12%). Failure to remove the lead with the extraction stylet was experienced in 10 cases (7%). In seven patients, the leads were removed by cardiothoracic surgery; 3 defective leads were left in place. There were no serious complications associated with the procedure. None of the patients died. Conclusion: The experience with this extraction stylet for lead removal has shown good results. Despite a low complication rate thus far. each case for lead removal should be judged on the individual basis of benefit-to-risk ratio. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pacing & Clinical Electrophysiology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/j.1540-8159.1996.tb04786.x
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      – SubjectFull: Implantable cardioverter-defibrillators
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      – SubjectFull: Cardiac pacing
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      – SubjectFull: Medical equipment
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      – SubjectFull: Biomedical engineering
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      – SubjectFull: Medical supplies
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      – TitleFull: Three-Year Experience with a Stylet for Lead Extraction: A Multicenter Study.
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              Text: Jan1996
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              Y: 1996
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