Pacemaker Explantation

Pacemaker Explantation

 Explantation is defined as the removal of a lead within 1 year of implantation, through the implant vein and requiring only simple traction.2 Beyond 1 year, or elimination of a lead via a vascular route not utilised at implant or employing specialist equipment, is termed extraction. Infection is the most prevalent indication for extraction, with infection rates at <1% with new implants, rising to beyond 3% when re-instrumentation has ocurred. Impoverished vascular perfusion of the generator pocket and haematoma development, provide the perfect culture media and environment for microbial colonisation. Aside from infection, lead or system removal may be mandated through patient request, oncological management, device upgrading, lead redundancy or manufacture advisories .

 

 

 

 

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