Pacemaker and ICD Lead Extraction
Pacemakers and implantable cardioverter-defibrillators (ICDs) deliver energy to the heart through thin, flexible wires called leads. When these leads are not working properly – because of infection, damage, or surrounding scar tissue – they need to be removed.
Leads that have been in place for many years can become very attached to the heart and blood vessel walls, making them difficult to remove. UC San Diego surgeons are skilled at using a minimally invasive procedure called laser lead extraction to cut through scar tissue surrounding the lead and allow it to be easily removed.
Leader in Laser Lead Extractions
Only a small number of medical centers offer this complex surgery. UC San Diego does more each year than any other facility in the region, and by 2014, we had performed more than 250. We also perform this surgery in a “hybrid” operating room, with both state-of-the-art imaging equipment and everything necessary for open heart surgery.
Having two physicians — a cardiac electrophysiologist and a cardiothoracic surgeon — perform the surgery together enhances patients’ safety enormously.
In addition, our physicians have published and presented papers in lead management at national and international conferences, and often train other electrophysiologists in when and how to perform lead extractions.
Video: Hear from a lead extraction patient and her doctors
In November 2012, our facility performed its 100th lead extraction, with a 100% success rate. (We've since performed more than 250.) JenyLyn Carpio, the 100th patient, was 22 years old when she experienced a total heart blockage and was diagnosed with a genetic heart disorder that required a defibrillator and pacemaker. She discusses her treatment, and Dr. Ulrika Birgersdotter-Green and Victor Pretorius give more information on lead extractions.
Hundreds of Lead Extractions, Excellent Success Rate
In 2012, our physicians performed their 100th lead extraction surgery. (Read the news release) We've since performed more than 250, with excellent success rates.
First-Ever Procedure: Extracting Left-Sided Leads With Brain Protection
The UC San Diego team recently used a novel approach to extract pacemaker leads that had been placed on the wrong side of the heart — problematic because the left side of the heart is connected to the brain. Our novel approach to protect the brain may have application for other left-sided cardiac procedures. Read more and see a video.
Our physicians are actively involved in clinical research that helps make lead extractions safer and more effective. View lead extraction papers published by UC San Diego faculty.
Above, Dr. Victor Pretorius presents at a lead management meeting hosted by Dr. Pretorius, Dr. Birgersdotter-Green, and UC San Diego in 2014. Physicians from across North America attended to learn lead management indications and techniques.
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