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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 extr...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055293/ https://www.ncbi.nlm.nih.gov/pubmed/24967337 http://dx.doi.org/10.1155/2014/183483 |
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author | Lennerz, Carsten Pavaci, Herribert Grebmer, Christian von Olshausen, Gesa Semmler, Verena Buiatti, Alessandra Reents, Tilko Ammar, Sonia Deisenhofer, Isabel Kolb, Christof |
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 |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4055293 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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 Biomed Res Int 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. |
spellingShingle | Research Article 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 |
title | 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_short | Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal |
title_sort | forces applied during transvenous implantable cardioverter defibrillator lead removal |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055293/ https://www.ncbi.nlm.nih.gov/pubmed/24967337 http://dx.doi.org/10.1155/2014/183483 |
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