Arrhythmias & electrophysiology
Transvenous extraction of conduction system pacing leads: An international ulticenter (TECSPAM) study
Authors' conclusion
The overall success rates of the extraction of CSP leads were very high (although the LBBAP lead dwell time was <3 years), with a low need for extraction tools and minimal complication. Reimplantation in the conduction system is feasible and safe.
Study context
- Population
- Patients undergoing extraction of conduction system pacing (CSP) leads
- Participants
- 341 patients
- Exposure
- His bundle pacing vs left bundle branch area pacing (LBBAP)
- His bundle pacingn = 224
- LBBAPn = 117
- Outcome
- Safety, feasibility and clinical outcomes of CSP lead extraction
Methodological details10 international centers
- 10 international centers
Main finding
As reported in the abstract
Procedural success
Complete procedural success
338
99%
Clinical success
100%
Retained distal fragments
3
1%
Observational data: associations, not effects.
Further findings
Extraction method, lead dwell time >6 months (n = 226)
- Manual extraction successful
- 198 (87%)
- Mechanical tools
- 22 (10%)
- Laser
- 6 (3%)
- Femoral tools necessary
- 3
Reimplantation in the conduction system
- Successful reimplantation
- 233 of 244 attempted (95%)
Safety
- Minor complications
- 7 (2.1%)
Original publication
Transvenous extraction of conduction system pacing leads: An international ulticenter (TECSPAM) study. Heart Rhythm. Published 17 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →