Replies

• This is an evolving area for us.  With the low rates of infection seen in LCPs and with good data showing very low reinfection rates when used in this fashion, we have been moving more to LCP implantation for dependent patients with infection.  Patients are delighted to avoid an ICU stay.
  June 4, 2024

• Bruce had such an incredible impact on device and lead management and leaves a lasting legacy.  He was a dear friend and mentor.  I am so fortunate to have known and worked with him.
  January 9, 2024

• Very interesting and novel extraction tool!  Will look forward to further reports on experience with this device.
  August 11, 2023

• Saw the article.  It looked really intriguing.  I'd love to hear more about it. Also, did you have any cases with occlusion of the innominate?  In those cases, I guess you just treat the SVC.   Tom
  June 21, 2023

• Thanks for sharing the case.  These are very challenging leads with very low tensile strength.  They begin to stretch and fall apart when even very light traction is applied.  Even with dwell times of only a year or two, extraction of this lead can be difficult.  Tensile strength is a bit better for this lead if not cut, so we have moved to prepping the lead with a locking stylet down the intact lead and use very strong suture with a constrictor knot or the compression coil.  Snaring from below at the outset can also improve the ability to extract these leads. With the leads now broken and no ability to place a locking stylet, extraction will be very challenging and the ability to create a rail for the extraction tools will be negligible.  The remaining leads may come out piece by piece with a snare, but you might consider moving directly to a surgical approach.
  April 24, 2023