Lead Removal

Laser Effectively Removes Unneeded Pacemaker, Defibrillator Leads

The increasing number of patients with cardiac resynchronization therapy defibrillators, implantable cardioverter defibrillators and pacemakers has also meant a significant increase in the number of cardiac leads implanted. To effectively manage these implanted systems, an increasing number of cardiac lead removal procedures are required.
The University of Virginia Health System’s Electrophysiology Lab is combining its extensive experience in lead removal with leading-edge technology to provide the safest, most effective treatment as part of our comprehensive electrophysiology services.
UVA’s electrophysiologists utilize state-of-the-art Excimer Laser technology to safely and effectively dissolve the fibrous tissue that grows around leads, allowing them to more easily be removed. The Excimer system minimizes potential damage to surrounding cardiac tissue by applying “cool” ultraviolet laser light directly to the binding tissue.
“The Excimer Laser provides a high degree of success in removing leads without sacrificing patient safety,” says electrophysiologist Pamela Mason, M.D.
“The Excimer laser decreases the risk associated with lead removal and also makes it more likely that the entire lead will be removed,” adds electrophysiologist John DiMarco, M.D.
According to a study in the Journal of the American College of Cardiology, the Excimer system successfully removed 94 percent of leads, compared with 64 percent using manual tools alone. To ensure safe, effective lead extractions, UVA electrophysiologists are supported by cardiothoracic surgeons and interventional radiologists.
Lead removal is one of the comprehensive, leading-edge treatment options offered through UVA’s Electrophysiology Lab. Services include electrophysiology procedures, including pacemaker and ICD devices and cardiac resynchronization therapy; atrial fibrillation, ventricular tachycardia and supraventricular tachycardia ablations; and complete treatment for pediatric and congenital heart disease.
To refer a patient for lead removal, call UVA Physician Direct at 800.552.3723.

When Should Pacemaker and Defibrillator Leads Be Removed?

  • Sepsis or endocarditis
  • Localized device pocket infection
  • Non-functional leads in younger patients (including damaged, malfunctioning or superfluous leads)
  • Chronic venous occlusion