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Laser Sheath Assisted Filter Removal 

Laser Sheath Assisted Filter Removal
Chapter:
Laser Sheath Assisted Filter Removal
Author(s):

Mohammad Arabi

DOI:
10.1093/med/9780199986071.003.0057
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date: 29 July 2021

This chapter presents a step-by-step guide to the use of laser sheath assisted filter removal. It describes the clinical applications of laser-tipped sheath in removing chronically embedded filters using controlled photothermal ablation of the endothelium surrounding the filter struts. This technique has been long used for extraction of pacemaker leads and has recently been extrapolated to filter removal because it minimizes the forces applied during difficult retrieval procedures and allows for removal of permanent filter devices. In addition to requiring less force for filter retrieval, laser sheath assisted removal helps reduce the total fluoroscopic time needed to complete the procedure. This chapter details the technical steps, potential pitfalls, and possible complications of this technique.

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