Arrhythmias & electrophysiology

Procedural and long-term outcomes of tunneled transvenous leads

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

In patients with ipsilateral venous occlusion, contralateral lead tunneling appears to be an effective and safe approach to manage patients with CIEDs and occluded ipsilateral subclavian veins.

Study context

Population
Patients with cardiac implantable electronic devices (CIEDs) and ipsilateral venous stenosis/occlusion undergoing contralateral lead tunneling, 2014–2024
Participants
27 patients
Outcome
Postoperative complications
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • No postoperative complications

Observational data: associations, not effects.

Further findings

Long-term lead outcome (mean follow-up 2.2 ± 1.4 years) · 3 years after implantation

Tunneled defibrillator lead with low shock impedance, monitored, no intervention required
1 (3.7%)

Safety

OutcomeValues
Low shock impedance of tunneled defibrillator lead · 3 years after implantationMonitored; no intervention requiredTunneled leads 3.7%

Original publication

Procedural and long-term outcomes of tunneled transvenous leads. Heart Rhythm. Published 6 September 2024. doi:10.1016/j.hrthm.2024.08.063

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