Lead Abandonment or Lead Extraction?

ICD lead abandonment is without risk? A case of “lead on lead crime”

Introduction Lead failure rates of implantable cardioverter-defibrillators (ICDs) vary depending on design and composition, and can be as high as 40% a few years post implant. The Sprint Fidelis lead (Medtronic, Minneapolis, MN) was recalled in 2007 because it is prone to fracture, particularly to its pacesense conductor, which predisposes patients to inappropriate shocks; its yearly failure ra...

Lead extraction: Definition standards

Lead Zinc Extraction Processes

Zinc and lead are the two most widely used non-ferrous metals after aluminium and copper as vital materials in everyday life. They are mined and smelted in many countries in both the developed and developing world. Both pyrometallurgical as well as hydrometallurgical methods are used for production of lead zinc depending on the type of raw material used as a charge. In the pyrometallurgical pro...

Unusual embolization of a pacemaker lead fragment during lead extraction

In 2014, an 84-year-old man with pacemaker erosion was referred to our center. He underwent coronary artery bypass graft surgery in 2008 for multivessel coronary artery disease. In 2009, he developed sick sinus syndrome and received a Biotronik Cylos 990 DR-T DDD pacemaker with a 7.2-F Biotronik Selox SR 53 active fixation atrial lead and a 4.8-F Sorin Xfine TX26D passive ventricular lead. In J...

Should They Stay or Should They Go? Current Controversies in Lead Extraction Lead Extraction Is Preferred for Lead Revisions and System Upgrades When Less Is More

Cardiovascular implantable electronic device (CIED) use has increased exponentially during the past decade,1–3 with 4.5 million active devices and 1 million new leads implanted annually.4,5 With expanded CIED use and indications for device therapy, observed complications have increased in parallel.6–14 The occurrence of more frequent device system revisions for complications,6–8 system upgrades...