ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023
Transvenous lead extraction: Experience of the Tandem approach.
Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of non-laser and laser transvenous lead extraction: a systematic review and meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023Pooled it
- Transvenous Lead Extraction Using a Stepwise Bailout Strategy: A Single-Center Experience with Wrap-Around Rescue in Selected Bailout Cases.Journal of clinical medicine · 2026Article
- Shoulder elevation to improve sheath-lead coaxial alignment during transvenous lead extraction: a case report.European heart journal. Case reports · 2026Article
- Tandem Approach for Transvenous Lead Extraction: Efficacy, Safety, and Operational Learning Curve.Journal of cardiovascular electrophysiology · 2026Article
- Annual Trends and Regional Disparities in Transvenous Lead Extractions in Japan: Insights From the Nationwide Japanese Registry of All Cardiac and Vascular Diseases-Diagnostic Procedure Combination Data.Journal of arrhythmia · 2026Article
- Transvenous Lead Extraction: The Femoral Pull-Through Technique.Journal of cardiovascular electrophysiology · 2025Article
- Wire In Pigtail cathEteR ThRoUgh Snare Twice (WIPER TRUST) technique for grasping leads without free ends in transvenous lead extraction.HeartRhythm case reports · 2025Article
- Comparative durability of pacemaker leads in transvenous lead extraction: An evaluation through bench testing.Heart rhythm O2 · 2025Article
- Transvenous lead extraction: The jugular snare technique.HeartRhythm case reports · 2024Article
- Two-in-one procedure for transvenous lead extraction and leadless pacemaker reimplantation in pacemaker-dependent patients with device infection: streamlined patient flow.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024Article
- Successful coronary sinus left ventricular lead extraction 9 years postimplantation using the wire ThRoUgh Snare Twice (wire TRUST) technique.Clinical case reports · 2024Article
- A "one-step" treatment for symptomatic lead-related venous obstruction using percutaneous lead extraction, venous stenting, and new device implantation.HeartRhythm case reports · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
aimsTransvenous lead extraction (TLE) is important in the management of cardiac implantable electronic devices but carries risk. It is most commonly completed from the superior access, often with 'bail-out' support via the femoral approach. Superior and inferior access may be used in tandem, which has been proposed as an advance in safety and efficacy. The aim of this study is to evaluate the safety and efficacy of the Tandem approach.
methodThe 'Tandem' procedure entailed grasping of the targeted lead in the right atrium to provide countertraction as a rotational dissecting sheath was advanced over the lead from the subclavian access. Consecutive 'Tandem' procedures performed by a single operator between December 2020 and March 2023 in a single large-volume TLE centre were included and compared with the conventional superior approach (control) using 1:1 propensity score matching; patients were statistically matched for demographics.
resultsThe Tandem in comparison with the conventional approach extracted leads of much greater dwell time (148.9 ± 79 vs. 108.6 ± 77 months, P < 0.01) in a shorter procedure duration (96 ± 36 vs. 127 ± 67 min, P < 0.01) but requiring more fluoroscopy (16.4 ± 10.9 vs. 10.8 ± 14.9 min, P < 0.01). The Tandem and control groups had similar clinical (100% vs. 94.7%, P = 0.07) and complete (94.8% vs. 92.8%, P = 0.42) success, with comparable minor (4% vs. 6.7%, P = 0.72) and major (0% vs. 4%, P = 0.25) complications; procedural (0% vs. 1.3%, P = 1) and 30-day (1.3% vs. 4%, P = 0.62) mortality were also similar.
conclusionThe Tandem procedure is as safe and effective as the conventional TLE. It can be applied to leads of a long dwell time with a potentially shorter procedure duration.
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