A case series of percutaneous extraction of leads in patients with infected cardiac implantable electronic devices with rotating mechanical extraction tool

Abstract

The aim was to study the feasibility and real-world experience of the use of rotating mechanical cutting tool for extraction of infected or externalized device leads. A total of 13 leads in 7 patients were extracted using this tool. The resistance was found at different levels: subclavian-superior vena cava junction, tricuspid annulus and lead tip. Two patients needed 2 incisions. Wound closure with drain was done in same sitting in 5 patients while delayed closure was done in 2 patients. No peri or post procedure complications were encountered in this series of patients.