Abstract
Cardiac implantable electronic devices (CIEDs) are increasingly being used; thus, there is an increasing need for transvenous lead extraction (TLE).
Objectives: To summarize our experience with TLE at a single referral center in northern Israel. Methods: The study included all patients who underwent TLE at our center between 2019 and 2022, regardless of the indication.
Complete lead removal was achieved in 98% of patients and in 98.99% of leads. The complete procedural success rate as well as the clinical procedural success rate was 96%.
The procedural failure rate was 4% (1 patient died 2 days after the index procedure and 1 patient remained with large portion of lead). The indication for TLE was infection in 78% of the cohort group. Powered mechanical sheaths were used in 36 patients (72%), laser sheaths in 27 (54%), and a combination of laser and mechanical sheaths in 16 (32%).
Conclusions: The clinical and procedural success rates of TLE, primarily for CEID-related infection, were high. A combination of laser and mechanical sheaths was needed in one-third of patients.
Haddad R, Birati E, Zayyad H, Andria N, Nachum E, Kachel E, Marai I. Outcomes of Transvenous Lead Extraction in a Referral Center in Northern Israel. Isr Med Assoc J. 2024 May;26(5):273-277.
