Table of contents
- 1. Introduction
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Introduction
- Reasons to do it:
- Infection (Class I)
- Thromboembolic events (Class I)
- SVC Syndrome + Symptoms
- Ipsilateral venous occlusion (and using the other side) (Class I)
- Causing malfunction or arrhythmia (Class I)
- Interfering with treatment of malignancy (Class I)
- Arrhythmias triggered by leads
- Pain
- Risk of perforation (or active perforation)
- Pathology
- After implantation: Thrombus formation after weeks and then fibrosis occurs around the leads
- Traditionally traction + CV surgery were the only ways
- Leads are now thinner, can break.
- Risk of myocardial rupture
- Surgery had high morbidity
- Predictors of complications:
- Implant duration
- female gender
- ICD removal
- Use of laser lead extraction (laser = less complications)
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