Key result
A survey of European electrophysiology centres found that lead extractions are mostly performed in low volumes and based largely on clinical experience rather than rigorous evidence.
Why the study?
What are the attitudes and practices regarding redundant lead extraction among European electrophysiology centres?
Cross-Sectional
Yes
What are the attitudes and practices regarding redundant lead extraction among European electrophysiology centres?
European EP centres vary in their approach to lead extraction, often relying on clinical experience rather than rigorous evidence, and typically perform these procedures in low volumes.
Answers are grounded in this paper and cite their sources.
Lead extraction practices remain largely experience-driven with low volumes; leaves open need for prospective evidence on redundant leads.
This survey has compared attitudes towards (endocardial) lead extraction, among European electrophysiology centres, with special attention paid to 'redundant leads'. The main findings of this survey are: (i) most of the centres performing lead extractions do so in low volume even though the number of implants may be high. (ii) Approaches to the practice of lead extraction are based largely on clinical experience and individual sentiment but not on a rigorous evidence based. (iii) Traction alone or in combination with extraction tools (but not laser) are commonly used for extraction. (iv) The perception of need for involvement of cardio-thoracic surgeon varies.
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Erven et al. (2010) conducted a cross-sectional in Redundant leads and lead extractions. Attitudes and practices regarding lead extraction was evaluated on Survey responses regarding lead extraction practices. A survey of European electrophysiology centres found that lead extractions are mostly performed in low volumes and based largely on clinical experience rather than rigorous evidence.
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