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Lead extraction

An ICD & CRT Therapy term on the RCES exam blueprint, defined for cath lab and EP clinicians.

Indicated for infection (the strongest and most urgent indication, since an infected lead generally cannot be left in place), lead malfunction with no abandoned-lead alternative, or device upgrade when venous access is limited. Extraction risk rises substantially with lead dwell time due to fibrotic adherence, requiring specialized extraction tools (locking stylets, mechanical or laser sheaths) and, for higher-risk extractions, on-site cardiac surgical backup given the risk of SVC or cardiac perforation during the procedure.

Domain: ICD & CRT Therapy · Blueprint: RCES exam guide

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Written and reviewed by John-Philip (JP) Maarschalk, BSN, RN, CNML — a nurse manager who runs operations for the cardiac cath lab, electrophysiology, and interventional service lines at an academic health system in North Carolina. He hires and develops the staff who sit for these exams. More about JP and how this content is made →
Cardiac Codex is an independent study tool published by MdoubleA LLC, not affiliated with or endorsed by CCI or any certifying body. This glossary entry is exam-preparation information, not medical advice or a substitute for clinical judgment. Always verify current clinical practice against primary sources and institutional protocol.