Management for Redundant Lead:Current Status and Future Perspectives
10.3969/j.issn.1000-3614.2025.04.013
- VernacularTitle:心血管植入型电子器械冗余电极导线管理策略的现状与展望
- Author:
Jingliang ZHOU
1
;
Xuebin LI
1
Author Information
1. 北京大学人民医院 心血管内科,北京 100044
- Publication Type:Journal Article
- Keywords:
redundant lead;
non-functional lead;
abandoned lead;
cardiovascular implantable electronic device;
management
- From:
Chinese Circulation Journal
2025;40(4):397-401
- CountryChina
- Language:Chinese
-
Abstract:
With the increasing numbers of implanted cardiovascular implantable electronic devices(CIED),the issue of lead management has become increasingly prominent.Currently,there is controversy on the management of redundant lead.In clinical practices such as CIED device upgrades,choosing to abandon redundant leads can avoid the risks associated with lead extraction.However,the strategy may increase the risks of future CIED infections,venous occlusions,and the risks of future lead extraction.On the other hand,choosing to remove redundant leads might expose patients to risks associated with lead extraction.Therefore,the management regarding redundant lead need to balance the risks of abandonment and extraction strategies.This article discusses the current strategies for redundant lead management and their potential risks.