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Medical News & Perspectives | July 15, 2009

Group Offers Advice on Safe Extraction of Lead Wires in Implantable Heart Devices

Mike Mitka

JAMA. 2009;302(3):244-245. doi:10.1001/jama.2009.970.

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While researchers and device makers have focused on improving the safety and efficacy of pacemakers, implantable cardioverter-defibrillators, and other cardiovascular implantable electronic devices, issues surrounding the lead wires that connect these tools to the myocardium have received less attention. But that dynamic is changing.

The Heart Rhythm Society has issued recommendations for policies and guidelines on lead performance and a consensus statement on transvenous lead extraction. The documents were released during the society's May scientific sessions in Boston.

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The Heart Rhythm Society recognizes that extraction of lead wires for cardiac implantable electronic devices is not without risk and is recommending minimum training and volume levels for physicians to be considered competent in performing the procedure.

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Mitka M. Group Offers Advice on Safe Extraction of Lead Wires in Implantable Heart Devices. JAMA. 2009;302(3):244-245. doi:10.1001/jama.2009.970.

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