Arrhythmias & electrophysiology

Safety and success of transvenous lead extraction using excimer laser sheaths: a meta-analysis of over 1700 patients

EuropacePublished Systematic review and meta-analysis

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
Outcome
TLE procedural success rate
Methodological detailsrandom-effects, inverse-variance-weighting
  • Random-effects, inverse-variance-weighting

Pooled result

As reported in the abstract

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

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.