Arrhythmias & electrophysiology
The “No-cut technique” for lead preparation in transvenous lead extraction
Authors' conclusion
NCT reported a higher rate of complete lead extraction, a lower rate of lead fragmentation, and better laboratory time without increased complications.
Study context
- Population
- Consecutive patients undergoing transvenous lead extraction (TLE) with the stepwise approach445 leads
- Participants
- 205 patients
- Exposure
- No-cut technique vs conventional approach in TLE
- NCTn = 111
- Outcome
- Complete procedural success
Methodological details2 tertiary centres, consecutive patients
- 2 tertiary centres
- Consecutive patients
Main finding
As reported in the abstract
P = 0.017
Observational data: associations, not effects.
Further findings
Clinical success
P = 0.501
Lead fragmentation
P = 0.027
Fluoroscopy use and laboratory time
- Lower fluoroscopy use with NCT
- P < 0.001
- Shorter laboratory time with NCT
- P < 0.001
1-year survival (overall)
- Overall 1-year survival 98%
- P = 0.627
Safety
- Major complications 5 (2%), no deaths
- P = 0.520
Original publication
The “No-cut technique” for lead preparation in transvenous lead extraction. Heart Rhythm. Published 12 December 2025. doi:10.
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