Percutaneous extraction of transvenous defibrillator leads using the VascoExtor pacing lead removal system

In the implantable cardioverter defibrillator era the necessity for lead re moval is not negligible. A specially designed extraction lead system for pe rcutaneous removal of such leads is lacking, in contrast to the existing pa cing lead extraction systems. We report the successful percutaneous extract ion of four implantable cardioverter defibrillator leads in three patients because of lead malfunction using a novel pacemaker lead extraction system, the VascoExtor (VascoMed) system. Three leads were successfully removed in two patients using traction with special locking stylets from the superior approach. One lead was removed using the system's additional extraction to ols through the femoral approach. There were no complications. This prelimi nary experience shows that the VascoExtor (VascoMed) pacemaker lead extract ion system can also be used in implantable cardioverter defibrillator lead extraction safely and effectively. In addition to the locking stylets, adju nct percutaneous extraction tools may be needed in some cases.