Complex Clinical Cases in Lead Extraction-Complex Clinical Cases in Lead Extraction

Video Transcription

Video Summary

The Rhythm Theater hosted an informative session on lead management, featuring an all-star cast of experts discussing various aspects critical for patient care. The agenda included talks on delayed extraction in infected patients, extraction challenges with leads across the tricuspid valve, handling leads with low tensile strength, and extraction of previously abandoned leads. Dr. Emily Zeitler shared a case study illustrating the serious consequences of delayed lead extraction in a 63-year-old patient with multiple co-existing medical conditions, emphasizing the importance of timely extraction to prevent recurrent infections. Dr. Mark Metzl discussed the importance of collaboration with structural heart teams to prevent issues with jailed leads, as well as updated management guidance. Dr. Pierce Vadarot introduced bench testing techniques to enhance extraction safety through understanding lead construction. Dr. Ro Metta highlighted the profound risks of abandoned leads, including increased infection and procedural complications, illustrated by a complex clinical case. The session concluded with a Q&A, addressing audience questions about extraction techniques, collaboration with surgeons, and procedural staging. The importance of comprehensive patient care and effective collaboration across specialties for successful lead management was emphasized throughout the event.

Keywords

lead management

patient care

delayed extraction

tricuspid valve

abandoned leads

infection prevention

collaboration

extraction techniques

procedural complications