Transvenous Lead Extraction From Simple Traction To Transjugular Approach

In recent years, indications for defibrillators and cardiac resynchronization therapy have expanded enormously. The implanted leads necessary for these devices to function, however, have a limited life span, and their extraction will be an increasing issue in clinical practice for treating short- and long-term complications, such as infections and lead failures. Aim of this book is to provide state-of-the-art techniques for lead extraction and to cover subjects such as lead characteristics, indications for lead removal, patient preparation, extraction tools and techniques, complication prevention and management. A series of tips and tricks for approaching particular conditions (tight costoclavicular space, fractured leads, implantable cardioverter–defibrillator leads, endangered leads) is presented. A new extraction technique through the internal jugular vein is described: several examples are given, and high-quality images help thoroughly depict this innovative procedure. An excellent resource for all individuals involved in managing cardiac patients: cardiologists, arrhythmologists, surgeons, general practitioners, pediatricians, and postgraduate students in those disciplines.