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Related Experiment Video

Updated: Mar 2, 2026

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Overcoming the current issues surrounding device leads: reducing the complications during extraction.

Maria Grazia Bongiorni1, Luca Segreti1, Andrea Di Cori1

  • 1a Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department , New Santa Chiara Hospital, University of Pisa , Pisa , Italy.

Expert Review of Medical Devices
|May 20, 2017
PubMed
Summary

Transvenous lead extraction (TLE) is crucial for managing cardiac device complications. Optimizing TLE strategies and risk stratification ensures safer procedures for patients with implantable cardioverter defibrillators (ICDs) and pacemakers.

Keywords:
Transvenous lead extractioncomplicationsdevice leads

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Area of Science:

  • Cardiology
  • Medical Device Technology
  • Interventional Procedures

Background:

  • Cardiac implantable electronic device (CIED) implantation rates have risen, leading to increased complication rates.
  • Intravascular fibrosis of pacing and implantable cardioverter defibrillator (ICD) leads complicates their removal, posing significant risks.
  • Transvenous lead extraction (TLE) is a critical procedure in managing CIED complications.

Purpose of the Study:

  • To review the current status and evolving strategies of transvenous lead extraction (TLE).
  • To focus on optimizing TLE procedures for individual patients and minimizing complications.
  • To emphasize the importance of risk stratification in TLE procedures.

Main Methods:

  • Review of current transvenous lead extraction (TLE) approaches and techniques.
  • Analysis of strategies for safe and effective lead removal in patients with cardiac implantable electronic devices (CIEDs).
  • Discussion of lead-related and patient-related factors influencing extraction outcomes.

Main Results:

  • The field of TLE is continuously advancing with new techniques and tools.
  • Accurate risk stratification is essential for balancing procedural risks and benefits.
  • Appropriate training, tools, and techniques are fundamental for safer TLE procedures.

Conclusions:

  • Effective TLE is vital due to rising CIED implantations and associated complications.
  • Personalized TLE strategies, considering patient and lead factors, are key to successful outcomes.
  • A thorough understanding of TLE risk stratification is mandatory for optimizing patient care.