Abstract
Objectives: In recent years, pacemaker (PM) and implantable cardioverter-defibrillator (ICD) insertion has increased. Lead infection or vegetation formation is one of the major complications of these devices. Complete device and lead removal is recommended for all patients with local or systemic infection (Class I). Management of patients with large lead vegetations ≥ 20 mm is still in debate. Historically, they were treated with open surgical lead removal. We here present our 10-years' experience in laser lead extraction of PM and ICD leads as a routine approach in patients with large intracardiac vegetations.
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