What factors predict the likelihood of successful lead extraction by simple traction in pediatric and congenital heart disease patients?
In pediatric and congenital heart disease patients, older lead age, ventricular leads, and polyurethane insulation predict a lower likelihood of successful lead extraction by simple traction.
The majority of leads implanted in pediatric and congenital heart disease patients can be extracted successfully; however, the procedure carries a risk of serious complications. Older lead age, ventricular leads, and polyurethane insulation were independent predictors of the decreased likelihood of an extraction by simple traction.
Cecchin et al. (Sat,) studied this question.