Key result
Transvenous lead extraction of four old leads was successful in a patient with infective endocarditis, though complicated by cardiac tamponade requiring surgical repair.
Why the study?
Lead abandonment often results in transvenous lead extraction becoming a harmful procedure years later when class 1 indications arise, raising questions regarding the timing of extraction versus abandonment.
Case Report (n=1)
This case highlights the severe cumulative risks of extracting very old abandoned leads and raises the question of whether prophylactic extraction should be considered earlier to avoid late complications.
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May caution against routine lead abandonment in long-term CIED patients; leaves open optimal extraction timing in extended-life-expectancy subgroups.
Borzęcki et al. (2019) conducted a case report in Pocket infection and lead-related infective endocarditis (n=1). Transvenous lead extraction was evaluated. Transvenous lead extraction of four old leads was successful in a patient with infective endocarditis, though complicated by cardiac tamponade requiring surgical repair.
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