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However, unbreachable resistances occurred with a new lead deployed over the enclosed wire and interventional endovascular techniques were performed to reimplant a new fully functioning system. This first report demonstrates TPNS lead exchange is possible but can be challenging. Interventional maneuvers and techniques, including balloon angioplasty, can facilitate this procedure.<\/jats:p>","DOI":"10.1111\/jce.14725","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T02:48:07Z","timestamp":1598410087000},"page":"3056-3060","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["First interventional exchange of a left transvenous phrenic nerve stimulation lead from the novel remed\u0113 system"],"prefix":"10.1111","volume":"31","author":[{"given":"Klaus\u2010J\u00fcrgen","family":"Gutleben","sequence":"first","affiliation":[{"name":"Clinic for Electrophysiology, Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"},{"name":"Medizinische Klinik III\/Kardiologie, Klinikum Herford Herford Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Eitz","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic and Cardiovascular Surgery, Herz\u2010 und Diabeteszentrum NRW, Ruhr Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy","family":"Westlund","sequence":"additional","affiliation":[{"name":"Respicardia, Inc. 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