Arrhythmias & electrophysiology

Clinical effectiveness and safety of transvenous lead extraction of very old leads

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

TLE of VLDT leads has a lower procedural and clinical success and a higher complication rate than TLE of leads with a shorter dwell time.

Study context

Population
Transvenous lead extraction (TLE) procedures at Emory Healthcare, 2007–2023
Participants
1,717 TLE procedures
Exposure
TLE of very old leads vs younger leads
  • Very long dwell time (VLDT)n = 114
Outcome
Clinical effectiveness (procedural and clinical success) and safety of TLE
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Procedural and clinical success

Procedural success

Clinical success

  • VLDT vs Control: P < 0.001 — procedural and clinical success, significantly lower with VLDT

Observational data: associations, not effects.

Further findings

Infectious indication (VLDT)
57%

Safety

Major complications · trend toward higher rate with VLDT

P = 0.058

Original publication

Clinical effectiveness and safety of transvenous lead extraction of very old leads. Heart Rhythm. Published 20 November 2024. doi:10.1016/j.hrthm.2024.11.022

Composed by AI from the published abstract and checked against it. How Briefs are made →

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