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System and lead extractions 

System and lead extractions
System and lead extractions

Jonathan Timperley

, Paul Leeson

, Andrew RJ Mitchell

, and Timothy Betts

Page of

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date: 22 October 2019

General principles 314

Indications 314

Patient preparation 316

Tools for extraction 318

Basic techniques of lead extraction 322

Superior venous approach 324

Femoral venous approach 326

Defibrillator and coronary sinus lead extractions 328

Open surgical lead extraction 328

Post lead extraction 330

Complications 330

With the rising prevalence of implantable pacemakers and defibrillators, the need for explants or extractions of transvenous leads has recently increased....

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