If you have a pacemaker or implantable cardiac defibrillator (ICD), active management by our experienced electrophysiologists can help ensure the effectiveness and safety of your device. 

laser_lead_removalThe CVI is one of New England’s busiest device management centers.

About 20% of leads that connect the device to the heart fail within 10 years. Infections occur in about 1% of new devices, 3% of replacement devices and .8 % of existing devices. In addition, manufacturer recalls may require the replacement of faulty leads.

Lead Removal

For any of these reasons, lead removal and replacement may be required. Our team performs lead removals using the full range of tools available, including the latest laser technology. Your electrophysiologist will deliver your care in consultation with expert cardiac surgeons and infectious disease specialists, as needed.


The U.S. Food & Drug Administration (FDA) has validated the safety of MRI for patients with many newer cardiac devices, but for 2 million Americans with cardiac devices that do not meet FDA guidelines, MRI can be dangerous. These patients can experience arrhythmias and partial generator electrical resets during or after MRI.

Our team will evaluate your risk of MRI recommend protocols to reduce the risk.