Key result
Transvenous lead extraction effectively manages device complications, carrying up to ~2% major emergent complications.
Why the study?
Transvenous lead extraction is a complex, potentially high-risk procedure for managing complications related to cardiac implantable electronic devices, requiring careful consideration of indications, risks, and methods.
This review summarizes the indications, methods, and potential complications of transvenous lead extraction for cardiac implantable electronic devices.
TLE warrants caution due to up to 2.3% major complication risk even in experienced centers; leaves open the need for prospective trials to optimize patient selection.
Transvenous lead extraction (TLE) is a complex and technically challenging procedure useful in the management strategy for many complications related to the presence of cardiac implantable electronic devices (CIEDs). The decision to perform lead extraction should take into consideration the clinical indication for the procedure, risks versus benefits, extractor and team experience, and also patient preference for the procedure. A variety of techniques can be used when performing TLE procedures, such as simple traction, traction devices, and various types of sheaths or snares. TLE is a procedure with a potentially high risk of complications that can be divided into major complications, which require rapid intervention, and minor complications, which are more frequent but are not life-threatening. The present review aims to highlight the indications, contraindications, methods, and complications of transvenous lead extraction procedures.
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Boarescu et al. (2022) conducted a review in Complications related to cardiac implantable electronic devices (CIEDs). Transvenous lead extraction (TLE) was evaluated. Transvenous lead extraction is an effective procedure for managing complications of cardiac implantable electronic devices, with major complications requiring emergent intervention reported in up to 2.3% of cases.
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