Why the study?
Is manual traction without extraction sheaths safe and effective for trans-venous lead removal in patients with cardiac rhythm devices?
Population
279 lead removal procedures (involving 445 leads) in patients with cardiac rhythm devices at a single center.
Design
Cohort
Follow-up
1 month
Authors
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Supports selective manual traction in experienced centers for shorter-duration leads; leaves open need for randomized comparisons with sheath-based techniques.
Is manual traction without extraction sheaths safe and effective for trans-venous lead removal in patients with cardiac rhythm devices?
Lead removal using manual traction without extraction sheaths is clinically successful in approximately 85% of procedures with low concomitant morbidity and mortality, particularly for leads implanted for less than 2.6 years.
Bie et al. (2011) studied this question.
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