Performance and outcomes of transvenous rotational lead extraction: Results from a prospective, monitored, global clinical study—“An evolution in extraction”

More than 1 million new cardiovascular implantable electronic devices are inserted yearly across the globe.1 Subsequently, lead management is becoming an increasingly vital component of patient care. The guidelines for when a lead should be extracted are well defined.2,3 However, providing safe and effective transvenous lead extractions (TLE), especially in older leads, can be challenging. Operator experience, extraction equipment, and center workflow all contribute to outcomes. Although there is no “gold-standard” extraction technique, both laser cutting sheaths and mechanical rotational sheaths have been used with success.