Why the study?
Risk factors associated with intraprocedural complications related to CIED extraction remain elusive and conflicting.
DIC is a very rare but potentially life-threatening complication of CIED extraction that should be considered early if excessive, uncontrollable postprocedural bleeding occurs.
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Alerts clinicians to rare DIC after CIED extraction; case reports leave open incidence and prevention questions.
As the number of cardiac implanted electronic devices (CIED) has dramatically increased in the United States,1 so has the frequency with which CIEDs are extracted.2 Of the 1.2 to 1.4 million CIED devices that are implanted annually worldwide,1 1%–2% of these will require system extraction.3 Indications for extraction of CIEDs are well established, with system infection identified as mandatory.1,4 Major intraprocedural complications associated with CIED extraction are well documented.5 The risk factors associated with intraprocedural complications related to CIED extraction remain elusive and conflicting, with advanced lead age and female sex consistently identified in the literature as predictors of major complications.
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Dunn et al. (2022) studied this question.
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