Efficacy and Safety of Adjunctive and Primary Use of the TightRail Mechanical Cutting Sheath for Lead Extraction.

James R SampognaroMaham KaratelaRobert K LewisEric Black-MaierSean D PokorneyDonald D HeglandJonathan P Piccini

Published in: Circulation. Arrhythmia and electrophysiology (2023)

Rotational cutting with TightRail was used in 42.8% of transvenous lead extractions, predominantly in an adjunctive manner after stalled laser progression in the innominate vein and superior vena cava, and more frequently for dual-coil and leads with longer dwell times. Adjunctive TightRail use carries a low risk of major complications.

Keyphrases

vena cava
inferior vena cava
risk factors
high speed
african american
pulmonary embolism
mass spectrometry
high resolution