Key result
Transvenous lead extraction for CIED infections is rising, yet underutilization remains widespread.
Despite increasing rates of transvenous lead extraction, underutilization remains a significant issue for patients with CIED infections, highlighting the need for improved referral and guideline adherence.
Although the TLE rate is increasing, many patients with CIED infections do not undergo TLE. Addressing barriers through physician education, improved referral systems, and adherence to guideline-directed management, especially in noncertified hospitals, is essential for optimizing the TLE rate.
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Nakamura et al. (2025) studied this question. Transvenous lead extraction utilization is increasing for cardiac implantable electronic device infections, yet many patients still do not undergo the procedure.
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