Application of Intravascular Dissection Devices for Closed Chest Coronary Sinus Lead Extraction: An Interdisciplinary Approach

Closed chest CS lead extraction can be safely performed with excellent results. We recommend an escalating approach from isolated manual traction over locking stylets to mechanical sheaths and, eventually, electrosurgical dissection devices. The application in mainly high-risk patients demands an interdisciplinary approach to enhance safety and limit morbidity and death.