Arrhythmias & electrophysiologyCohort study
Retained Wire Lead Extraction Techniques in Patients With Venous Occlusion
- retrospective study
- single center (2020 to 2025)
Authors' conclusion
Retained wire techniques offer a safe and effective solution for managing venous occlusion during CIED revision or upgrade, particularly when leads are mobile and dwell time is modest. The wire-in-lumen technique demonstrated the highest success and broadest applicability.
Study context
- Population
- Patients undergoing transvenous lead extraction (TLE) for cardiovascular implantable electronic device (CIED) revision or upgrade with complete venous occlusioneligible patients, 50 (83%) had leads that were freely mobile and underwent a retained wire strategy
- Participants
- 60 patients
- Exposure
- 4 retained wire techniques, each combined with venoplasty, for re-establishing venous access
- wire-under-insulation from aboven = 9
- wire-in-lumenn = 36
Main finding
As reported in the abstract
Access successfully re-established
All retained wire cases
49 of 50 cases (98%)
Observational data: associations, not effects.
Further findings
| Outcome | wire-under-insulation from above | wire-under-insulation (below) | wire-in-lumen | wire-through-coronary sinus lead |
|---|---|---|---|---|
| Access success by technique · Wire-in-lumen was most effective | 33% | Not reported in the abstract | 97% | Not reported in the abstract |
Venoplasty performed
- Venoplasty performed
- 92% of cases
Safety
Pericardial effusion requiring pericardiocentesis
- Pericardial effusion requiring pericardiocentesis
- One
Original publication
Retained Wire Lead Extraction Techniques in Patients With Venous Occlusion. JACC Clin Electrophysiol. Published 2 April 2026. doi:10.1016/j.jacep.2026.02.025
Summarised from the published abstract; every number is checked against it