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Transvenous Lead Extraction (TLE) Procedure: Experience from a Tertiary Care Center in Thailand

Natcha Soontornmanokati1, Chulaporn Sirikhamkorn1, Nilubon Methachittiphan1

  • 1Cardiology Unit, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Indian Pacing and Electrophysiology Journal
|February 27, 2022
PubMed

Insights

Transvenous lead extraction (TLE) in Thailand demonstrated high success rates (97.5%) for cardiac implantable electronic device complications. Procedures using laser and mechanical sheaths proved safe and effective, even in non-high-volume centers.

Area of Science:

  • Cardiology
  • Medical Devices
  • Interventional Procedures

Background:

  • Transvenous lead extraction (TLE) addresses late complications of cardiac implantable electronic devices (CIEDs).
  • Limited data exists on TLE outcomes in Thailand.

Purpose of the Study:

  • To evaluate the effectiveness and safety of TLE procedures in Thailand.
  • To analyze outcomes of TLE at a single center.

Main Methods:

  • Retrospective cohort study of TLE procedures at Ramathibodi hospital (January 2008 - December 2020).
  • Analysis included 79 patients and 157 leads, focusing on infection-related indications.

Main Results:

  • High clinical success rate of 97.5% was achieved.
  • Infection was the primary indication for TLE (67.1%).
  • Major complications occurred in 5.1% of patients, with one in-hospital mortality.

Conclusions:

  • TLE utilizing laser and mechanical sheaths is effective and safe.
  • These procedures are viable even outside high-volume centers.
Abstract

Keywords:
CIED infectionLaser lead extractionTransvenous lead extraction

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