Key result
Intravascular lithotripsy may facilitate transvenous lead extraction in heavily calcified or chronic CIED leads.
Why the study?
Transvenous lead extraction in patients with heavily calcified or chronically implanted CIED leads is technically demanding and carries increased procedural risk due to fibrosis and venous calcification limiting conventional techniques.
Does intravascular lithotripsy (IVL) facilitate transvenous lead extraction in patients with heavily calcified or chronically implanted CIED leads?
Does intravascular lithotripsy (IVL) facilitate transvenous lead extraction in patients with heavily calcified or chronically implanted CIED leads?
Intravascular lithotripsy is proposed as a novel endovascular adjunct that may facilitate complex transvenous lead extraction by modifying calcified tissue.
Transvenous lead extraction (TLE) in patients with heavily calcified or chronically implanted cardiac implantable electronic device (CIED) leads remains technically demanding and carries an increased risk of procedural complications. Extensive fibrosis and venous calcification may limit the effectiveness of conventional extraction techniques, particularly in leads with prolonged dwell times. Intravascular lithotripsy (IVL), which uses acoustic pressure waves to modify calcified tissue while preserving surrounding structures, may facilitate extraction in these challenging scenarios.
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Giraldo et al. (2026) studied Heavily calcified or chronically implanted CIED leads requiring transvenous lead extraction. Intravascular lithotripsy (IVL) was evaluated. Intravascular lithotripsy may facilitate transvenous lead extraction in patients with heavily calcified or chronically implanted CIED leads.
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