Laser lead extraction supports revascularisation of occluded or stenotic subclavian veins

Objectives: Laser lead extraction due to infection of the pacing system or malfunction of the lead itself is the treatment of choice, especially for those that have been implanted for several years. If continuous pacing is mandatory new leads need to be implanted. Multiple lead devices incline to cause stenotic lesions or complete occlusion of the subclavian vein thereby complicating lead implantation.