Strategic Decision-Making in Lead Extraction: Tackling Unique and Complex Scenarios

Description

This session delves into the intricacies of strategic decision-making in lead extraction, focusing on unique and complex scenarios that challenge electrophysiologists. Attendees will gain insights into when to extract versus abandon non-infected leads, considerations for tricuspid regurgitation and transcatheter tricuspid repair, techniques for extracting lumenless leads, and strategies for managing large lead vegetations.

Learning Objectives

Identify key factors in deciding whether to extract or abandon non-infected leads in challenging cases.
Evaluate the risks and benefits of lead extraction in patients with tricuspid regurgitation and those undergoing transcatheter tricuspid repair.
Develop advanced strategies for extracting lumenless leads and managing large lead vegetations.

Session Chair(s)

Chi Keong Ching, MBBS
Justin Lee, MD

Presentation

When to Extract and When to Abandon Non-infected Leads?
Presenter(s): Sean D. Pokorney, MBA, MD

When to Extract Leads in Tricuspid Regurgitation and Prior to Transcatheter Tricuspid Repair?
Presenter(s): Emily P. Zeitler, MD, MHS

How to Extract Lumenless Leads?
Presenter(s): Parikshit S. Sharma, MD, MPH

How to Approach Large Lead Vegetations?
Presenter(s): Charles A. Henrikson, MD, MPH

Disclosures

Sean Pokorney:

Boston Scientific (Honoraria/Speaking/Consulting Fee - Membership on Advisory Committees or Review Panels)
Boston Scientific (Research (Contracted Grants for PIs and Named Investigators only) - Research)
Philips (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic (Honoraria/Speaking/Consulting Fee - Membership on Advisory Committees or Review Panels)
Zoll Medical Corporation (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Philips (Research (Contracted Grants for PIs and Named Investigators only) - Research)
Sanofi (Honoraria/Speaking/Consulting Fee - Consulting)
Milestone Pharmaceuticals (Honoraria/Speaking/Consulting Fee - Consulting)

Emily Zeitler:

Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Boston Scientific (Honoraria/Speaking/Consulting Fee - Research)
Abbott (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Consulting)
Medtronic (Honoraria/Speaking/Consulting Fee - Membership on Advisory Committees or Review Panels)
Element Science, Inc (Honoraria/Speaking/Consulting Fee - Consulting)

Parikshit Sharma:

Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Abbott (Honoraria/Speaking/Consulting Fee - Consulting)
Biotronik (Honoraria/Speaking/Consulting Fee - Consulting)

Charles Henrikson:

Nothing Relevant to Disclose

To view all Heart Rhythm 2025 Faculty Disclosures, please click here.

Education Framework

Bradyarrhythmias
-- Lead Management
-- 88. Know the indications and complications of transvenous lead extraction, including the risks/beneﬁts/alternatives when managing lead failure, malfunction, or CIED infection.

Summary


Availability:	No future session


Cost:	FREE


Credit Offered:	No Credit Offered