Why the study?
Does mechanical extraction of ICD leads with a dwell time >10 years have similar safety and effectiveness compared to younger leads?
Does mechanical extraction of ICD leads with a dwell time >10 years have similar safety and effectiveness compared to younger leads?
Mechanical extraction of ICD leads with >10 years dwell time is safe and effective, though technically more demanding and costly than extracting younger leads.
Supports extraction of long-dwell ICD leads in experienced centers; extends observational data but leaves open need for prospective confirmation.
The TLE procedures involving the extraction of old ICD leads were effective and safe. The outcomes of ICD lead removal with a dwell time of >10 years did not differ significantly compared with younger ICD leads. However, extraction of older ICD leads required more frequent necessity for utilizing multiple extraction tools, more experience and versatility of the operator, and increased surgery costs.
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Ząbek et al. (2023) studied this question.
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