Device lead extraction is a medical procedure performed to remove one or more leads from a patient's cardiovascular implantable electronic device (CIED), such as pacemakers, implantable cardioverter-defibrillators (ICDs), or cardiac resynchronization therapy (CRT) devices.
FAQs
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How is device lead extraction performed
Device lead extraction is typically performed in a specialized cardiac catheterization laboratory or operating room. It involves the use of specialized tools and techniques to carefully detach and remove the leads from the heart. The procedure may be done through a minimally invasive approach using laser or mechanical sheaths or, in more complex cases, may require open-heart surgery.
How should I prepare for device lead extraction
Your healthcare provider will provide specific instructions for preparation, but generally:
You may be asked to avoid eating or drinking for several hours before the procedure.
Inform your doctor about any medications, allergies, or medical conditions you have.
You may need to stop certain medications before the procedure, particularly blood thinners.
Arrange for someone to drive you home after the procedure.
Is device lead extraction a risky procedure?
Device lead extraction is generally safe, but it does carry some risks and complications, including:
Bleeding or hematoma at the extraction site.
Damage to blood vessels or the heart during the extraction process.
Infection.
Arrhythmias or heart rhythm disturbances during or after the procedure.
Rarely, the need for emergency open-heart surgery if complications arise.
