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Pacing supplement: Techniques in pacemaker and defibrillator lead extraction

October 2018 Br J Cardiol 2018;25(suppl 3):S35–S39 doi:10.5837/bjc.2018.s18

Pacing supplement: Techniques in pacemaker and defibrillator lead extraction

Osman Najam, Hitesh C Patel, Manav Sohal, Mark M Gallagher

Abstract

Definitions Lead extraction is defined as a procedure in which a cardiovascular implantable electronic device (CIED) lead is removed with the assistance of equipment not routinely used during implantation, or after it has been in situ for more than one year. Lead explant is the removal of a lead that has been implanted for less than one year using only standard implantation stylets. Indications The indications for CIED lead extraction from contemporary international guidelines are summarised in table 1. Table 1. Adapted indications for lead extractions and their class of recommendation1 Epidemiology The number of lead extraction procedures be

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