What would folks do?

1. Nothing, continnue to monitor
2. Abandon leads and reimplant TV DC-PPM
3. Extract leads and reimplant TV DC-PPM
4. Something else?

I'll post what we decided to do and our rationale.

05.01.2025 04:02 — 👍 0    🔁 0    💬 0    📌 0

This is magnified cine at left clavicle:

05.01.2025 04:02 — 👍 0    🔁 0    💬 1    📌 0

Curious as to how folks would approach this lead management issue.

80+ y/o, CHB, CABG, TAVR, PAF, DC-PPM with 6 year old BSci Ingevity RA/RV, EF 50%, no CHF. Bipolar imp >3000 in both leads, now unipolar pace/sense, noise with isometrics, no R waves at 30 bpm This is CXR.

05.01.2025 04:02 — 👍 0    🔁 0    💬 1    📌 0

Success and minimization of complications with multiple leads including dwell times of 18 years and SVC coil enhanced by femoral snaring IMO. I have seen "two-for" snaring with Cook NES but never a "three-fer" where snared Fidelis lead is providing countertraction on LV lead!

30.11.2024 03:59 — 👍 2    🔁 0    💬 0    📌 0

1st BSky #EPEEPS post.
Thanksgiving Lead Extraction Post
70+ year old with recurrent MRSA bacteremia, CRT-D from 2019, abandoned Fidelis lead from 2006. RA lead vegetation on RA lead. Transferred from outside hospital. Successful extraction with all leads removed. Great work by super fellow G. Peigh

30.11.2024 03:59 — 👍 6    🔁 0    💬 2    📌 1