The role of transvenous lead extraction in the management of redundant or malfunctioning pacemaker and defibrillator leads post ELECTRa. Issue 11 (14th February 2018)

• Record Type: Journal Article
• Authors: Sidhu, Baldeep S; Gould, Justin; Sieniewicz, Benjamin; Porter, Bradley; Rinaldi, Christopher A
• Is Part Of: Europace. Volume 20:Issue 11(2018)
• Page Start: 1733
• Page End: 1740
• Publication Date: 2018-02-14
• Subjects: Transvenous lead extraction -- ELECTRa -- Malfunctioning leads -- Redundant leads; Arrhythmia -- Treatment -- Periodicals; Cardiac pacing -- Periodicals; Catheter ablation -- Periodicals; Heart -- Physiology -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1093/europace/euy018
• Languages: English
• ISSNs: 1099-5129

Abstract

Abstract: Cardiac implantable electronic devices implantation rates have increased over the past decade due to broader indications and an ageing population. Similarly, device and lead complications have also risen. The management of pacemaker/defibrillator leads that are no longer required (redundant) or malfunctioning, can be contentious. There is a need to balance the risk of transvenous lead extraction (TLE) against those of lead abandonment. The recently published European Lead Extraction ConTRolled Registry (ELECTRa) study provides contemporary outcomes for TLE across Europe with important implications for the management of redundant and/or malfunctioning leads. This review article discusses the potential complications for each interventional approach when managing redundant or malfunctioning pacemaker leads.