PO-02-079 SAFETY AND FEASIBILITY OF DEVICE EXTRACTION OF THE HIS 3830 SELECTSECURE© LEAD

The 3830 SelectSecure© Lead (Medtronic, MN) is widely used for conduction system pacing. Data regarding the safety and complexity of lead extraction from septum with this lumenless 4.1 Fr ETFE coated limited to a few reports. To evaluate safety, efficacy, extractions implanted on interventricular septum. Consecutive patients undergoing between Jan 2015 2021 at Virginia Commonwealth University were analyzed. Procedural tools, dwell times, complications, indications failure tabulated. A total 23 had during study period. All leads in His bundle region median time 190 days (IQR 34-319 days) mean 290 days. Devices sick sinus syndrome (13, 57%), AV block (9, 39%), planned CRT (1, 4%) most common indication was (75%) followed by device upgrade (17%), infection (4%), or combination need (4%). capture threshold prior 2.8V±1.9V @ 1 ms. 21 (91%) successful explant manual traction alone, 2 (4%) required laser sheath, patient both mechanical tools. only complication femoral vein hematoma; no remnants, achieved all patients. success complete outcomes excellent caveat that cohort primarily fell into low intermediate risk category, as calculated SAFeTY TLE score. times are relatively short given more recent advent technique. Device entirety can be done safely despite its placement unique design. However, took place after implant information needed about long times.