Document Detail

Fibrotic tissue growth into the extendable lobes of an active fixation coronary sinus lead can complicate extraction.
MedLine Citation:
PMID:  20883510     Owner:  NLM     Status:  In-Data-Review    
Extraction of passive fixation coronary sinus (CS) leads is typically easily achieved with manual traction. The ability to readily extract active fixation leads from the CS is less clear. Our first extraction experience with an active fixation CS lead was in a 58-year-old man with a 13-month-old Medtronic 4195 lead (Medtronic Inc., Minneapolis, MN, USA). The lobes of the lead would not fully undeploy. Significant, prolonged manual traction was required to free the lead from the cardiac vein. Inspection demonstrated fibrotic tissue growth into the lead lobes. Such growth may lead to an increase in extraction complications and failures. (PACE 2010; 34:e64-e65).
Bryan Baranowski; Michael Yerkey; Thomas Dresing; Bruce L Wilkoff
Publication Detail:
Type:  Journal Article     Date:  2010-09-30
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  34     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e64-5     Citation Subset:  IM    
Copyright Information:
©2010, The Authors. Journal compilation ©2010 Wiley Periodicals, Inc.
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
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