The use of radiofrequency catheter ablation to extract a chronic permanent pacemaker lead after failed laser extraction

J Interv Card Electrophysiol. 2002 Jun;6(2):187-90. doi: 10.1023/a:1015327919866.

Abstract

Even with the latest advances in pacemaker lead extraction techniques, successful lead extraction via percutaneous techniques still cannot be achieved in up to 2% of procedures at qualified centers reiterating the need for further development in this area. We present an example of a novel technique using radiofrequency (RF) energy delivered with a steerable ablation catheter to facilitate lead removal using an 8-french guiding sheath (SRO, Daig corporation) and a bidirectional steerable 4 mm tip ablation catheter (EPT). With a short series of RF ablations, the pacemaker lead tip was successfully freed without complications.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheter Ablation*
  • Device Removal / methods*
  • Electrodes, Implanted
  • Female
  • Fluoroscopy
  • Humans
  • Laser Therapy*
  • Pacemaker, Artificial / adverse effects*
  • Treatment Failure