(Recorded Case) Lead Extraction: A Case-Based Approach-(Recorded Case) Lead Extraction: A Case-Based Approach

Video Transcription

Video Summary

The session focused on the complex medical process of lead extractions from pacemakers, with insights from electrophysiologists, cardiac surgeons, and even patient experiences. Dr. Tina Baconer from Stanford shared intricate case studies illustrating the setup of an electrophysiology (EP) lab and the collaborative efforts required for lead extractions. One such case involved a 75-year-old patient who required lead extraction due to impaired lead function and entailed setting up a hybrid operating room with EP and cardiac surgical teams working closely together. Dr. Jamil Bashir from St. Paul's Hospital highlighted the critical nature of surgical collaboration in lead extractions, emphasizing the importance of thorough pre-procedure planning and setup, including hybrid operating theaters and available surgical backups like on-pump support. Dr. Tom Callahan from the Cleveland Clinic discussed the nuances of extracting leadless pacemakers, a more recent development in the field. He noted the limited manufacturer guidance for removing devices implanted for over a year and shared his successful strategy for safely extracting a leadless pacemaker using a dedicated removal tool, aided by intra-procedural imaging like ICE (intracardiac echocardiography). The session concluded with insights from Roland Skamovic, a patient who shared his firsthand experiences with lead extractions and underscored the essential trust between patients and their medical teams. The presentations and discussions highlighted the intricate procedures involved in lead extractions, the necessity for a multi-disciplinary approach, and the ongoing advancements in procedural tools and techniques.

Keywords

lead extractions

pacemakers

electrophysiology

cardiac surgery

hybrid operating room

pre-procedure planning

leadless pacemakers

intra-procedural imaging

multi-disciplinary approach

procedural advancements