Minimum Facility Requirements for the Performance of Lead Extraction

3 Minimum Facility Requirements for the Performance of Lead Extraction 

As the possibility of vascular catastrophe is very real, both the physician and the institution must be capable of responding immediately and appropriately to any problems that arise. To achieve this level of preparedness, the hospital must have the following services on site and immediately available during the lead extraction procedure  

Temporary pacing and defibrillation/cardiover-sion equipment in the procedure room. 

Monitoring equipment for invasive arterial pressure and oxygen saturation. 

High quality fluoroscopy a high-quality fluoroscopy system is a mainstay for lead extraction. Visualization of small lead components (such as stretched conductor coils, screws and embolized lead fragments) is fundamental to the safe performance of lead extraction. The equipment may be a fixed fluoroscopic system or a mobile high quality C-arm. Personnel specifically able to operate and troubleshoot this equipment are also required. 

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