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MINERVA CARDIOANGIOLOGICA

Rivista sulle Malattie del Cuore e dei Vasi


Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Cardioangiologica 2017 Jul 10

DOI: 10.23736/S0026-4725.17.04466-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Cardiac Lead Management: the future of transvenous lead extraction approaches and technologies

Luca SEGRETI 1 , Jean-Claude DEHARO 2

1 Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy; 2 Service de Cardiologie-Rythmologie, CHU la Timone, Marseille, France


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INTRODUCTION: The implantation rate of Cardiac implantable Elecrtonical Devices has consistently increased in the last 20 years, so as related complication rates. According, devices infections and malfunctions required the development of appropriate strategies, including lead removal. Transvenous lead extraction (TLE) is the gold standard for lead removal. The increasing rate of CIED implantations and of CIED related complications highlight the importance of transvenous lead extraction (TLE).
AREAS COVERED: TLE scenario is constantly evolving. Transvenous lead extraction (TLE) is a key procedure in lead management strategies. Optimizing lead related technology and improving TLE practice across the world are the cornerstone to improve safety and efficacy. We review the status of the art of TLE, focusing on potential future implications and improvements in terms of skillness and technologies.
EXPERT COMMENTARY: The increased number of extractions will increase the necessity of safe and effective TLE. The use of adequate tools, techniques and approaches, and an appropriate training are the cornerstone for safer procedures achievement. New technologies, techniques and an appropriate training is warranted across the world.


KEY WORDS: Transvenous lead extraction - Leadless - Device implantation

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Publication History

Article first published online: July 10, 2017
Manuscript accepted: July 7, 2017
Manuscript received: July 4, 2017

Per citare questo articolo

Segreti L, Deharo JC. Cardiac Lead Management: the future of transvenous lead extraction approaches and technologies. Minerva Cardioangiol 2017 Jul 10. DOI: 10.23736/S0026-4725.17.04466-8

Corresponding author e-mail

lucasegreti@gmail.com