Arrhythmias & electrophysiologyMeta-analysis
Safety and success of transvenous lead extraction using excimer laser sheaths: a meta-analysis of over 1700 patients
- Systematic review and meta-analysis
- random-effects, inverse-variance-weighting
Authors' conclusion
This meta-analysis demonstrated that excimer laser sheath-assisted TLE has high success and low procedural mortality rates.
Study context
- Population
- Patients undergoing transvenous lead extraction (TLE) with excimer laser sheaths, studies 1 April 2016–31 March 202117 articles · 2,887 leads
- Participants
- 1,729 patients
Pooled result
As reported in the abstract
TLE procedural success rate
Procedural success per patient
96.8% (1440/1505; 95% CI 94.9-98.2%)
Procedural success per lead
96.3% (1447/1501; 95% CI 94.8-97.4%)
Further pooled results
Clinical success rate per patient
- Clinical success per patient
- 98.3% (989/1010; 95% CI 97.4-99.0%)
Leads per patient and lead dwell time
- Leads per patient, on average (± 0.3)
- 2.3
- Lead dwell time, years (± 3.0)
- 7.9
Original publication
Safety and success of transvenous lead extraction using excimer laser sheaths: a meta-analysis of over 1700 patients. Europace. Published 27 September 2023. doi:10.1093/europace/euad298
Summarised from the published abstract; every number is checked against it