Percutaneous Extraction of Transvenous Permanent Pacemaker/Defibrillator Leads-A Single-Center Experience
1Department of Cardiology, Ondokuz Mayıs University School of Medicine, Samsun 55139, Turkey.
Medicina (Kaunas, Lithuania)
|August 29, 2024
Summary
Percutaneous lead extraction is a safe and effective procedure for managing pacemaker complications. This study shows a high success rate with manageable risks, even for leads with long dwell times.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Increasing use of cardiac pacemakers has led to more device-related complications.
- Percutaneous lead extraction is a necessary intervention for managing these complications.
Purpose of the Study:
- To present single-center clinical experience with percutaneous lead extractions.
- To evaluate the effectiveness and safety of transvenous lead removal.
Main Methods:
- Retrospective observational cohort study of 93 patients undergoing extraction of 163 endocardial leads.
- Analysis included device details, indications, lead characteristics, extraction methods, complications, and follow-up data.
Main Results:
- High success rates: 84% complete procedural success, 89% clinical procedural success.
- Common indications: pocket infection (35.5%), lead dysfunction (35.5%).
- Major complications occurred in 11% of patients; minor complications in 6.5%.
Conclusions:
- Transvenous lead extraction is a highly successful procedure with acceptable complication rates.
- Simple manual traction is effective, even for leads with long implantation durations.
