ArticleOpen heart2026
Transvenous lead extraction: predictors of procedure complexity.
Article in Open heart, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- 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
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsOver the past decades, high-volume lead extraction centres gained broad experience in advanced transvenous lead extractions (TLE). However, access to advanced TLE techniques is limited, thus it would be beneficial to predict which extractions can be performed safely and effectively by simple procedures. We aimed to report on predictors of procedure complexity in clinically successful TLEs.
methodsOur retrospective study included 70 infectious TLEs, of which 65 were clinically successful. TLEs were defined as simple if only simple manual traction or a locking stylet was required, and complex if a rotational mechanical sheath or a femoral snare was used.
results42 patients underwent a complex procedure and 23 patients underwent a simple procedure. Overall, 129 leads were extracted. Complex procedures were characterised by longer lead dwell time (mean: 10.7±6.5 years vs 3.2±2.1 years; p<0.01), and a greater rate of passive lead extraction (50% vs 17.4%; p=0.02). In multivariate logistic regression analysis, longer lead dwell time (OR=1.69; 95% CI 1.24 to 2.30; p=0.001) was an independent predictor of procedural complexity. Among active fixation leads, the cut-off lead age for complex extractions was 4.5 years.
conclusionsIn the current single centre study, older lead age was the only independent predictor of procedural complexity. Based on this, the majority of infectious TLEs involving active fixation electrodes younger than 4.5 years may be safely performed even in centres where advanced TLE tools are unavailable.
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