ArticleJournal of arrhythmia2025
Establishing a Cardiac Implantable Electronic Device Lead Extraction Program in a Resource-Limited Setting.
Article in Journal of arrhythmia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Article
- Establishing a Cardiac Implantable Electronic Device Lead Extraction Program in a Resource-Limited Setting.Journal of arrhythmia · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The rising number of cardiac implantable electronic device (CIED) implantations in Asia is expected to increase CIED-related infections and lead malfunctions. Establishing a lead extraction program is therefore essential. We describe the set-up and early implementation of the University of the Philippines-Philippine General Hospital (UP-PGH) Lead Extraction Program. Methods: Data on preoperative, intraoperative, and postoperative management were collected, along with details on resources, personnel, and workflows. A descriptive analysis was performed. Results: The UP-PGH Lead Extraction Program was launched on September 1, 2023. Key components-including personnel training, equipment procurement, hospital support, and workflow development-were successfully implemented. Within the first year, four procedures (eight leads) were completed (mean patient age: 60.75 years; lead dwell time: median of 6.2 years [IQR 10.15]; indication: infected pacemaker and ICD leads). All leads were completely removed without complications. The workflow included a structured preoperative process, including risk assessment, required investigations, antibiotic initiation, and subspecialty input. Intraoperative procedure included workflow optimization, materials readiness, and complication monitoring, which were prioritized during lead extraction. Post-procedure care involved completion of antibiotic treatment, culture processing, device reimplantation, and follow-up. These measures enabled safe lead removal by an electrophysiologist-led extraction team. Conclusion: This successful launch of the UP-PGH Lead Extraction Program demonstrated that developing countries can feasibly establish such programs with well-defined workflows and adequate resource planning.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.