Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal

Methods. 17 physicians, experienced in transvenous lead removal, performed a lead extraction manoeuvre of an ICD lead on a torso phantom. They were advised to stop traction only when further traction would be considered as harmful to the patient or when—based on their experience—a change in the ext...

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Main Authors:	Lennerz, Carsten, Pavaci, Herribert, Grebmer, Christian, von Olshausen, Gesa, Semmler, Verena, Buiatti, Alessandra, Reents, Tilko, Ammar, Sonia, Deisenhofer, Isabel, Kolb, Christof
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055293/

id	pubmed-4055293
recordtype	oai_dc
spelling	pubmed-40552932014-06-25 Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal Lennerz, Carsten Pavaci, Herribert Grebmer, Christian von Olshausen, Gesa Semmler, Verena Buiatti, Alessandra Reents, Tilko Ammar, Sonia Deisenhofer, Isabel Kolb, Christof Research Article Methods. 17 physicians, experienced in transvenous lead removal, performed a lead extraction manoeuvre of an ICD lead on a torso phantom. They were advised to stop traction only when further traction would be considered as harmful to the patient or when—based on their experience—a change in the extraction strategy was indicated. Traction forces were recorded with a digital precision gauge. Results. Median traction forces on the endocardium were 10.9 N (range from 3.0 N to 24.7 N and interquartile range from 7.9 to 15.3). Forces applied to the proximal end were estimated to be 10% higher than those measured at the tip of the lead due to a friction loss. Conclusion. A traction force of around 11 N is typically exerted during standard transvenous extraction of ICD leads. A traction threshold for a safe procedure derived from a pool of experienced extractionists may be helpful for the development of required adequate simulator trainings. Hindawi Publishing Corporation 2014 2014-05-21 /pmc/articles/PMC4055293/ /pubmed/24967337 http://dx.doi.org/10.1155/2014/183483 Text en Copyright © 2014 Carsten Lennerz et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lennerz, Carsten Pavaci, Herribert Grebmer, Christian von Olshausen, Gesa Semmler, Verena Buiatti, Alessandra Reents, Tilko Ammar, Sonia Deisenhofer, Isabel Kolb, Christof
spellingShingle	Lennerz, Carsten Pavaci, Herribert Grebmer, Christian von Olshausen, Gesa Semmler, Verena Buiatti, Alessandra Reents, Tilko Ammar, Sonia Deisenhofer, Isabel Kolb, Christof Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal
author_facet	Lennerz, Carsten Pavaci, Herribert Grebmer, Christian von Olshausen, Gesa Semmler, Verena Buiatti, Alessandra Reents, Tilko Ammar, Sonia Deisenhofer, Isabel Kolb, Christof
author_sort	Lennerz, Carsten
title	Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal
title_short	Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal
title_full	Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal
title_fullStr	Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal
title_full_unstemmed	Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal
title_sort	forces applied during transvenous implantable cardioverter defibrillator lead removal
description	Methods. 17 physicians, experienced in transvenous lead removal, performed a lead extraction manoeuvre of an ICD lead on a torso phantom. They were advised to stop traction only when further traction would be considered as harmful to the patient or when—based on their experience—a change in the extraction strategy was indicated. Traction forces were recorded with a digital precision gauge. Results. Median traction forces on the endocardium were 10.9 N (range from 3.0 N to 24.7 N and interquartile range from 7.9 to 15.3). Forces applied to the proximal end were estimated to be 10% higher than those measured at the tip of the lead due to a friction loss. Conclusion. A traction force of around 11 N is typically exerted during standard transvenous extraction of ICD leads. A traction threshold for a safe procedure derived from a pool of experienced extractionists may be helpful for the development of required adequate simulator trainings.
publisher	Hindawi Publishing Corporation
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055293/
_version_	1612100349918707712

Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal

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