Lead Extraction History, Training, Volume, and Location
Robert D Schaller1, Emily P Zeitler2, Anne Kroman3
1Division of Cardiovascular Medicine, Department of Medicine, Cardiac Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Cardiology Clinics
|November 5, 2025
Summary
Transvenous lead extraction (TLE) has advanced significantly, driven by complex devices and rising infections. Despite improved accessibility, TLE, especially for infections, remains underutilized, necessitating better education and guideline adherence.
Area of Science:
- Cardiology
- Medical Device Technology
- Interventional Procedures
Background:
- Transvenous lead extraction (TLE) has evolved since the 1950s with cardiac pacing systems.
- Increasing device complexity, patient comorbidities, infection rates, and recalls drive the need for TLE.
- Improved institutional support and training have enhanced TLE accessibility.
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