Related Experiment Video

Updated: Sep 18, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:02

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

190

Transvenous Lead Extraction in Patients with Congenital Heart Disease

Andrea Csillik1,2, Rita Beata Gagyi3, Attila Kardos4

  • 1Department of Cardiology, Buda Hospital of the Hospitaller Order of St. John of God, 1027 Budapest, Hungary.

Journal of Clinical Medicine
|June 26, 2025
PubMed

Insights

Transvenous lead extraction (TLE) using powered mechanical sheaths in congenital heart disease (CHD) patients is safe and effective. Outcomes and complexity in CHD patients are comparable to those without CHD, demonstrating successful advanced technique application.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Congenital Heart Disease

Background:

  • Congenital heart disease (CHD) patients often require transvenous pacemaker (PM) or implantable cardioverter defibrillator (ICD) leads.
  • Lead extraction (TLE) is a necessary procedure for a subset of these patients.
  • The use of advanced tools like powered mechanical sheaths in TLE for CHD patients warrants investigation.

Purpose of the Study:

  • To evaluate the outcomes and complexity of transvenous lead extraction (TLE) in congenital heart disease (CHD) patients.
  • To specifically assess the efficacy and safety of using powered mechanical sheaths in TLE for CHD patients.

Main Methods:

  • Retrospective analysis of 175 consecutive TLE procedures.
  • Comparison of 13 TLEs in CHD patients versus 162 TLEs in non-CHD patients.
  • Data collected on patient demographics, lead characteristics, procedural success, and complications.

Main Results:

  • CHD patients were younger at lead implantation and extraction compared to non-CHD patients.
  • Leads extracted from CHD patients were significantly older than those from non-CHD patients.
  • Procedural success (92% vs. 87%), clinical success (100% vs. 91%), and complication rates (0% vs. 11%) were comparable between groups.
  • Rotational mechanical sheaths were used in 61% of CHD extractions versus 38% of non-CHD extractions without significant difference in outcomes.

Conclusions:

  • Transvenous lead extraction using rotational mechanical sheaths is a safe and effective advanced technique for CHD patients.
  • The outcomes and complexity of TLE in CHD patients are comparable to those in non-CHD patients.
  • Powered mechanical sheaths facilitate successful TLE in this specialized patient population.

Keywords:
TLEcongenital heart diseaserotational mechanical dilatortransvenous lead extraction

More Related Videos

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

10.6K
Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.0K

Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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...
229
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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...
177
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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...
204
Electrocardiogram Fundamentals01:28

Electrocardiogram Fundamentals

Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
883