Cardiac Lead Extraction: A Case-Based Contemporary Approach > Cardiology

This hands-on approach to cardiac lead extraction is presented in a case-based format and complemented by more than 200 videos demonstrating state-of-the-art tools, methodology, technical skills, and periprocedural clinical management critical for successful outcomes.

 There is a worldwide increase in extraction procedures due to pacemaker or defibrillator leads becoming infected or dysfunctional. This visual atlas with 26 illustrative cases informs cardiology providers about the latest techniques and tools available for the procedure. The teaching objectives of this book will guide the reader to:

· Plan a lead extraction procedure based on the individual case.

· Review detailed technical aspects of a lead extraction procedure.

· Troubleshoot challenging and complex cases.

· Develop strategies to prevent, diagnose, and manage complications associated with lead extraction procedures.

The book will serve as an easy reference guide for cardiac electrophysiologists, cardiologists, anesthesiology providers, allied health staff members, fellows, and surgeons performing lead extraction procedures. Also included is a special section on team dynamics and the valuable role of allied health providers in lead extraction procedures.

The ability to learn from the collective wisdom of the lead extraction community is a game-changer…This compendium showcases a breadth of techniques and expertise that extends far beyond what any individual could achieve.   From the Foreword, Joshua M. Cooper, MD

Chapters

1. Structural Basis for Lead Extraction Complications
Justin Z. Lee, Samuel A. Shabtaie, Samuel J. Asirvatham

2. Clinical Assessment
Kunal Shah, Ulrika Birgersdotter-Green

3. Lead Extraction Imaging
Pierce J. Vatterott, Imran S. Syed, Akbar H. Khan

4. Extraction Planning and Preparation
Yong-Mei Cha, Siva K. Mulpuru

5. Anesthetic Considerations and Preparation for Lead Extraction
Shane M. Gillespie, William J. Mauermann

6. Room and Equipment Preparation
Kevin J. Mulligan

7. Team Collaboration and Decision Making During Lead Extraction Procedures
Siva K. Mulpuru, Yong-Mei Cha

8. Surgical Management of Bleeding Complications Associated with Transvenous Lead Extraction
Bradley Genovese, Travis Pollema

CASES

Case 1 Case of Device Extraction from Superior Venous Access
Siva K. Mulpuru

Case 2 Extraction of Recalled Riata Lead
Yong-Mei Cha

Case 3 Importance of Lead Countertraction
Yong-Mei Cha

Case 4 Lead Extraction (Right-Sided ICD)
Fred M. Kusumoto

Case 5 Lead Management (Pocket Pain)
Fred M. Kusumoto

Case 6 Superior Vena Cava Obstruction Due to Pacemaker Leads
Siva K. Mulpuru

Case 7 Lead Extraction for SVC Occlusion
Charles J. Love

Case 8 Management of a Patient with Lead Perforation
Klitos Konstantinidis, Charles J. Love

Case 9 The Use of Shockwaves to Facilitate Lead Management (Intravascular Lithotripsy)
Walid M. Barake, Paul A. Friedman

Case 10 Lead Extraction in a Patient with Patent Foramen Ovale and Paradoxical Embolism
Adetola Ladejobi, Siva K. Mulpuru

Case 11 Large Lead Mass
Justin Z. Lee, Siva K. Mulpuru

Case 12 Using AngioVac for Lead Extraction
Yong-Mei Cha

Case 13 Extraction Case Complicated with Superior Vena Cava Tear Due to Intramural Pacemaker Lead
Freddy Del-Carpio Munoz, Gregory A. Cogert, Samuel J. Asirvatham

Case 14 Early Detection of Superior Vena Cava Tear Using Video-Assisted Thoracoscopy During Lead Extraction
Yong-Mei Cha, Fatima A. Ali-Ahmed, Arman Arghami

Case 15 Percutaneous Management of Superior Vena Cava Tear
Yong-Mei Cha

Case 16 Tools and Techniques for the Extraction of Leadless Pacemakers
Gurukripa N. Kowlgi, Paul A. Friedman

Case 17 Femoral Device Extraction
Siva K. Mulpuru

Case 18 Lead Extraction through the Femoral Venous Route
Pierce J. Vatterott

Case 19 Coronary Sinus Lead Extraction of a Starfix Lead
Pierce J. Vatterott

Case 20 Extraction of Coronary Sinus Lead
Olurotimi Mesubi, Charles J. Love

Case 21 Azygous Vein Coil and Subcutaneous Array Extraction
Martin van Zyl, Siva K. Mulpuru

Case 22 Lead Extraction in a Patient with Prosthetic Valvular Endocarditis
Chin Lee, Gordon Ho, Ulrika Birgersdotter-Green

Case 23 A Patient with Congenital Atrioventricular Block and Severe Tricuspid Valve Regurgitation
Roshan Karki, Siva K. Mulpuru

Case 24 Management of Epicardial Leads in Device Infections
Erik A. Green, Travis Pollema

Case 25 Pacemaker Infection Treated with Chronic Suppressive Antibiotic Therapy
Fatima A. Ali-Ahmed, Siva K. Mulpuru

Case 26 Lead Extraction Using Single Sheath Mechanical Dilatation
Luca Segreti, Mario Giannotti Santoro, Stefano Viani, Andrea Di Cori, Antonio Maria Canu, Giulio Zucchelli