Arrhythmias & electrophysiology
Transvenous lead extraction safety and efficacy in infected and noninfected patients using mechanical-only tools: Prospective registry from a high-volume center
Authors' conclusion
TLE is safe and successfully performed in most patients, with a low major complication rate.
Study context
- Population
- Consecutive patients undergoing transvenous lead extraction, 2016–2022 (EXTRACT Registry)
- Participants
- 504 patients
- Exposure
- Cardiac implantable electronic devices (CIED) infection vs non-CIED infection
- Outcome
- Periprocedural clinical and procedural success; major complications including death
- Follow-up
- 30 days
Methodological detailssingle high-volume centre, consecutive patients, mechanical-only tools
- Single high-volume centre
- Consecutive patients
- Mechanical-only tools
Main finding
As reported in the abstract
Transvenous lead extraction (TLE) success
Complete procedural success
474
94.0%
Clinical success
492
97.6%
Observational data: associations, not effects.
Further findings
Predictors of any major complication incl. death in 30 days
- CIED infection: NYHA class IV and pre-procedure C-reactive protein independent predictors
- Non-CIED infection: time since last preceding procedure and pre-procedure platelet count independent predictors
Complications and procedural death
- Major complications
- 16 (3.2%)
- Minor complications
- 51 (10%)
- Died during procedure
- 3 (0.6%)
Original publication
Transvenous lead extraction safety and efficacy in infected and noninfected patients using mechanical-only tools: Prospective registry from a high-volume center. Heart Rhythm. Published 28 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →