{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:55:53Z","timestamp":1789696553076,"version":"4.0.1"},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p><jats:bold>LV Lead Extraction and Reimplantation.\u2003<jats:italic>Background:<\/jats:italic><\/jats:bold> Early series of biventricular device removal have contained mostly younger cardiac venous (CV) left ventricular leads and few have reported on rates of successful reimplantation.<\/jats:p><jats:p><jats:bold>\n            <jats:italic>Methods and Results:<\/jats:italic>\n          <\/jats:bold> We performed a retrospective analysis of all patients referred to the Cleveland Clinic between February 2, 2001 and July 27, 2011 for removal of a biventricular device with a CV pacing lead for an infectious indication. A total of 173 patients were included. The median age of the CV leads was 22.3 months (interquartile range: 5.2\u201346.3 months). The complete procedural success rate for all leads was 97.7%, with the remaining 2.3% clinical successes. A total of 76.9% of CV leads were removed using simple traction alone with the remaining leads requiring the use of a laser\u2010powered sheath. A total of 3.5% of leads required intervention (manual dissection or laser\u2010powered dissection) within the coronary sinus (CS). Major complications occurred in 1.2% of patients. Minor complications occurred in 7.5% of patients, the majority of which were hematomas requiring drainage (6.9%). CV lead reimplantation was attempted in 107 patients of which 88 (82.8%) were successful.<\/jats:p><jats:p><jats:bold>\n            <jats:italic>Conclusion:<\/jats:italic>\n          <\/jats:bold> CV lead removal in patients with an infected biventricular device is associated with an extremely high procedural success rate and a low incidence of major complications. The use of a laser\u2010powered sheath is necessary in roughly one\u2010quarter of cases with a very small percentage requiring intervention within the CS. Reimplantation of CV leads is achievable in roughly 83% of patients, a figure lower than nationally quoted estimates for <jats:italic>de novo<\/jats:italic> implantations. <jats:italic>(J Cardiovasc Electrophysiol, Vol. 23, pp. 1213\u20131216, November 2012)<\/jats:italic><\/jats:p>","DOI":"10.1111\/j.1540-8167.2012.02392.x","type":"journal-article","created":{"date-parts":[[2012,8,3]],"date-time":"2012-08-03T17:31:14Z","timestamp":1344015074000},"page":"1213-1216","source":"Crossref","is-referenced-by-count":27,"title":["Cardiac Venous Left Ventricular Lead Removal and Reimplantation Following Device Infection: A Large Single\u2010Center Experience"],"prefix":"10.1111","volume":"23","author":[{"given":"JOHN","family":"RICKARD","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KHALDOUN","family":"TARAKJI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EDMOND","family":"CRONIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MICHAEL P.","family":"BRUNNER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GREGORY","family":"JACKSON","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BRYAN","family":"BARANOWSKI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PETER P.","family":"BOREK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAVID O.","family":"MARTIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"OUSSAMA","family":"WAZNI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BRUCE L.","family":"WILKOFF","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,8]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0906431"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.818724"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1009540"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2011.03273.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2011.03149.x"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eun374"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2003.00087.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2005.09353.x"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-005-0910-0"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2005.40802.x"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eul130"},{"key":"e_1_2_5_13_2","first-page":"1085","volume":"7","author":"Wilkoff BL","year":"2009","journal-title":"Heart Rhythm Society; American Heart Association: Transvenous lead extraction: Heart Rhythm Society expert consensus on facilities, training, indications, and patient management: this document was endorsed by the American Heart Association (AHA). 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