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Preprocedural computed tomography before cardiac implanted electronic device lead extraction: Indication, technique, and approach to interpretation.

Publication ,  Journal Article
Lewis, RK; Ehieli, WL; Hegland, DD; Pokorney, SD; Chalian, H; Iranmanesh, R; Hurwitz Koweek, LM; Piccini, JP
Published in: J Cardiovasc Electrophysiol
March 2020

Cardiac implantable electronic devices (CIEDs) frequently need to be extracted due to infection, hardware failure, and other causes. The extraction of the CIED is typically performed using percutaneous methods. While these procedures are mostly performed without incident there is a small risk of significant complications. Dedicated imaging pre-CEID removal to include the central veins and heart with multidetector computed tomography (MDCT) can be utilized to evaluate the lead course and termination, the integrity of the central veins and cardiac chambers, and identify potential complications that may alter the lead extraction procedure as well as reimplantation of subsequent leads. Indications for preprocedural imaging, the technique of dedicated preprocedural lead extraction MDCT, and the approach to the interpretation of the images is discussed in this review.

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Published In

J Cardiovasc Electrophysiol

DOI

EISSN

1540-8167

Publication Date

March 2020

Volume

31

Issue

3

Start / End Page

723 / 732

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Predictive Value of Tests
  • Pacemaker, Artificial
  • Multidetector Computed Tomography
  • Humans
  • Device Removal
  • Defibrillators, Implantable
  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Lewis, R. K., Ehieli, W. L., Hegland, D. D., Pokorney, S. D., Chalian, H., Iranmanesh, R., … Piccini, J. P. (2020). Preprocedural computed tomography before cardiac implanted electronic device lead extraction: Indication, technique, and approach to interpretation. J Cardiovasc Electrophysiol, 31(3), 723–732. https://doi.org/10.1111/jce.14353
Lewis, Robert K., Wendy L. Ehieli, Donald D. Hegland, Sean D. Pokorney, Hamid Chalian, Reggy Iranmanesh, Lynne M. Hurwitz Koweek, and Jonathan P. Piccini. “Preprocedural computed tomography before cardiac implanted electronic device lead extraction: Indication, technique, and approach to interpretation.J Cardiovasc Electrophysiol 31, no. 3 (March 2020): 723–32. https://doi.org/10.1111/jce.14353.
Lewis RK, Ehieli WL, Hegland DD, Pokorney SD, Chalian H, Iranmanesh R, et al. Preprocedural computed tomography before cardiac implanted electronic device lead extraction: Indication, technique, and approach to interpretation. J Cardiovasc Electrophysiol. 2020 Mar;31(3):723–32.
Lewis, Robert K., et al. “Preprocedural computed tomography before cardiac implanted electronic device lead extraction: Indication, technique, and approach to interpretation.J Cardiovasc Electrophysiol, vol. 31, no. 3, Mar. 2020, pp. 723–32. Pubmed, doi:10.1111/jce.14353.
Lewis RK, Ehieli WL, Hegland DD, Pokorney SD, Chalian H, Iranmanesh R, Hurwitz Koweek LM, Piccini JP. Preprocedural computed tomography before cardiac implanted electronic device lead extraction: Indication, technique, and approach to interpretation. J Cardiovasc Electrophysiol. 2020 Mar;31(3):723–732.
Journal cover image

Published In

J Cardiovasc Electrophysiol

DOI

EISSN

1540-8167

Publication Date

March 2020

Volume

31

Issue

3

Start / End Page

723 / 732

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Predictive Value of Tests
  • Pacemaker, Artificial
  • Multidetector Computed Tomography
  • Humans
  • Device Removal
  • Defibrillators, Implantable
  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology