Arrhythmias & electrophysiology
Clinical effectiveness and safety of transvenous lead extraction of very old leads
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 →