Related Experiment Video
Updated: Sep 22, 2025
06:02
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
193
Patient Characteristics, Procedural Characteristics, and Outcomes in Patients Having Lead Extraction in a High-Volume
Matthew O'Connor1, Philip Schmidt2, Katharina Knoll3
1Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Klinik an Der Technischen Universität München, Munich, Germany; Department of Cardiology, Royal Brompton Hospital, London, United Kingdom.
The American Journal of Cardiology
|May 25, 2022
Summary
Transvenous lead extraction (TLE) is increasingly common. Modern techniques show high success rates and low complication rates (<1% major complications) for lead removal, even with complex devices.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
Background:
- Transvenous lead extraction (TLE) is a growing procedure due to increased implantation of complex cardiac devices.
- Up-to-date data on TLE safety and efficacy are crucial for managing noninfectious lead extraction indications.
Purpose of the Study:
- To present a contemporary review of transvenous lead extraction outcomes at a high-volume cardiac center.
- To evaluate the safety and efficacy of TLE using modern tools and techniques.
Main Methods:
- Prospective review of patients undergoing TLE from June 2016 to June 2019.
- Collection of baseline clinical data, procedural information, and outcome data for 341 patients (561 leads).
Main Results:
- Complete success was achieved in 96.4% of leads; clinical success in an additional 2.1%.
- Lead failure occurred in 1.4% of cases.
- Major complication rate was 0.9% (3/341), and minor complication rate was 1.5% (5/341). No deaths were reported.
Conclusions:
- Transvenous lead extraction demonstrates high success rates and an improving safety profile.
- Experienced operators achieve <1% major complication rates for lead extraction procedures.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
200
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
200
01:24Cardiac Catheterization III: Left Heart Catheterization
240
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
240
01:26Cardiac Catheterization IV: Nursing Management
214
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
214
01:26Endoscopic Studies II: Thoracocentesis
562
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
562
01:21Cardiac Catheterization II: Right Heart Catheterization
186
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
186