Arrhythmias & electrophysiologyCohort study
Transvenous lead extraction: Experience of the Tandem approach
- Retrospective cohort study
- propensity-score matched
- 1:1 matching
- single-centre
- single operator
- consecutive procedures
Authors' conclusion
The Tandem procedure is as safe and effective as the conventional TLE. It can be applied to leads of a long dwell time with a potentially shorter procedure duration.
Study context
- Population
- Patients undergoing transvenous lead extraction (TLE) of cardiac implantable electronic device leads, single large-volume centre, December 2020–March 20231:1 propensity-matched
- Exposure
- Tandem approach vs conventional superior approach for TLE
- Outcome
- Safety and efficacy of the Tandem approach
Main finding
As reported in the abstract
Procedural success
Clinical success
P = 0.07
Complete success
P = 0.42
Observational data: associations, not effects.
Further findings
Lead dwell time
P < 0.01
Procedure duration
P < 0.01
Fluoroscopy time
P < 0.01
Mortality · 30 days
P = 0.62
Procedural mortality
P = 1
Safety
Minor complications
P = 0.72
Major complications
P = 0.25
Original publication
Transvenous lead extraction: Experience of the Tandem approach. Europace. Published 4 November 2023. doi:10.1093/europace/euad331
Summarised from the published abstract; every number is checked against it