First interventional exchange of a left transvenous phrenic nerve stimulation lead from the novel remedē system.

Abstract:

:The remedē system is a novel fully implantable transvenous phrenic nerve stimulation (TPNS) device developed to treat central sleep apnea. No information is published on how to explant or replace its leads. An eighty-one year-old had a fractured lead and we removed it over a wire. However, unbreachable resistances occurred with a new lead deployed over the enclosed wire and interventional endovascular techniques were performed to reimplant a new fully functioning system. This first report demonstrates TPNS lead exchange is possible but can be challenging. Interventional maneuvers and techniques, including balloon angioplasty, can facilitate this procedure.

authors

Gutleben KJ,Eitz T,Westlund R,Gummert JF,Sommer P,Fox H

doi

10.1111/jce.14725

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

3056-3060

issue

11

eissn

1045-3873

issn

1540-8167

journal_volume

31

pub_type

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