The choice between extraction and abandonment of sterile, superfluous leads remains difficult and highly controversial, with limited rigorous evidence available.
The decision between extraction and abandonment of sterile, superfluous CIED leads remains highly controversial with limited rigorous evidence.
C ardiovascular implantable electronic device (CIED) use has increased exponentially during the past decade, 1-3 with 4.5 million active devices and 1 million new leads implanted annually. With expanded CIED use and indications for device therapy, observed complications have increased in parallel. 6 -14 The occurrence of more frequent device system revisions for complications, 6 -8 system upgrades, Consequently, clinicians increasingly are faced with the challenging choice of extraction or abandonment of sterile, superfluous leads. The decision is difficult and highly controversial, 4,18 -26 with limited rigorous evidence and passionate arguments on either side.
Maytin et al. (Sun,) conducted a editorial in Cardiovascular implantable electronic device (CIED) complications. Lead extraction vs abandonment was evaluated. The choice between extraction and abandonment of sterile, superfluous leads remains difficult and highly controversial, with limited rigorous evidence available.
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