EP Fellows Curriculum: Introduction to Device and Lead Management-EP Fellows Curriculum: Introduction to Device and Lead Management

Video Transcription

Video Summary

In this video transcript, the speaker gives an overview of device and lead management, specifically focusing on lead removal. The speaker defines terms such as non-functional leads (which are unusable leads), abandoned leads (which are functional leads left unconnected to the generator), lead removal (removing pacing or defibrillator leads at any time after implantation), and lead extraction (removing leads that have been implanted for at least one year using specific tools not used for implantation). The speaker discusses the indications for lead removal, including infection, thromboembolic events, SVC patency issues, chronic pain, and other factors. The speaker also discusses the risks and complications associated with lead removal procedures. The speaker concludes by sharing several case examples. The speaker advises those starting a lead extraction program to work closely with surgeons, ensure proper equipment and resources are available, and follow a checklist to ensure the safety and success of the procedures. The speaker also suggests using a bridge balloon for leads older than five years to improve the safety of the extraction process.

Keywords

lead removal

non-functional leads

abandoned leads

lead extraction

indications for lead removal

risks and complications

case examples

starting a lead extraction program

bridge balloon