Arrhythmias & electrophysiology
A simplified method of lead snaring to facilitate a tandem approach for long-dwelling transvenous lead extractions
Authors' conclusion
This technique was safe and effective compared with contemporary controls.
Study context
- Population
- Patients with long-dwelling transvenous leads undergoing powered sheath TLE
- Participants
- 59 patients
- Exposure
- Upfront femoral snaring vs conventional TLE
- Femoral snaringn = 25
- Conventionaln = 34reference
- Outcome
- Procedure and fluoroscopy times
Main finding
As reported in the abstract
- No significant differences in procedure or fluoroscopy times
Observational data: associations, not effects.
Further findings
Baseline differences, intervention vs controls
- Age, intervention vs controls
- 72.5 ± 11.4 years vs 61.4 ± 18.6 years; P < .01
- Ischemic cardiomyopathy, intervention vs controls
- 52.0% vs 29.4%; P = .04
- LVEF, intervention vs controls
- 41.8% ± 15.7% vs 49.8% ± 11.8%; P = .02
- Hypertension, intervention vs controls
- 84.0% vs 61.8%; P = .03
- Diabetes, intervention vs controls
- 76.0% vs 14.7%; P < .01
- Right-sided leads, intervention vs controls
- 28.0% vs 2.9%; P < .01
Procedure and fluoroscopy times
- No significant differences in procedure or fluoroscopy times
Original publication
A simplified method of lead snaring to facilitate a tandem approach for long-dwelling transvenous lead extractions. Heart Rhythm. Published 19 December 2025. doi:10.
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