Transvenous Lead Extraction: Work in Progress
Cardiac implantable electronic devices are the cornerstone of cardiac rhythm management, with a significant number of implantations annually. A rising prevalence of cardiac implantable electronic devices coupled with widening indications for device removal has fuelled a demand for transvenous lead e...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2023-06-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articleindex/ecr.2023.06 |
| _version_ | 1797199964382691328 |
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| author | Zaki Akhtar Manav Sohal Mary N Sheppard Mark M Gallagher |
| author_facet | Zaki Akhtar Manav Sohal Mary N Sheppard Mark M Gallagher |
| author_sort | Zaki Akhtar |
| collection | DOAJ |
| description | Cardiac implantable electronic devices are the cornerstone of cardiac rhythm management, with a significant number of implantations annually. A rising prevalence of cardiac implantable electronic devices coupled with widening indications for device removal has fuelled a demand for transvenous lead extraction (TLE). With advancement of tools and techniques, the safety and efficacy profile of TLE has significantly improved since its inception. Despite these advances, TLE continues to carry risk of significant complications, including a superior vena cava injury and mortality. However, innovative approaches to lead extraction, including the use of the jugular and femoral accesses, offers potential for further gains in safety and efficacy. In this review, the indications and risks of TLE are discussed while examining the evolution of this procedure from simple traction to advanced methodologies, which have contributed to a significant improvement in safety and efficacy. |
| first_indexed | 2024-03-07T17:39:41Z |
| format | Article |
| id | doaj.art-18e741fd6bcb4cd08a1475b78be20f5d |
| institution | Directory Open Access Journal |
| issn | 1758-3756 1758-3764 |
| language | English |
| last_indexed | 2024-04-24T07:24:07Z |
| publishDate | 2023-06-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj.art-18e741fd6bcb4cd08a1475b78be20f5d2024-04-20T16:03:31ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642023-06-011810.15420/ecr.2023.06Transvenous Lead Extraction: Work in ProgressZaki Akhtar0Manav Sohal1Mary N Sheppard2Mark M Gallagher3Department of Cardiology, St George’s University Hospital NHS Foundation Trust, London, UKDepartment of Cardiology, St George’s University Hospital NHS Foundation Trust, London, UKCardiac Risk in the Young, Cardiovascular Pathology Unit, St George’s University of London, London, UKDepartment of Cardiology, St George’s University Hospital NHS Foundation Trust, London, UKCardiac implantable electronic devices are the cornerstone of cardiac rhythm management, with a significant number of implantations annually. A rising prevalence of cardiac implantable electronic devices coupled with widening indications for device removal has fuelled a demand for transvenous lead extraction (TLE). With advancement of tools and techniques, the safety and efficacy profile of TLE has significantly improved since its inception. Despite these advances, TLE continues to carry risk of significant complications, including a superior vena cava injury and mortality. However, innovative approaches to lead extraction, including the use of the jugular and femoral accesses, offers potential for further gains in safety and efficacy. In this review, the indications and risks of TLE are discussed while examining the evolution of this procedure from simple traction to advanced methodologies, which have contributed to a significant improvement in safety and efficacy.https://www.ecrjournal.com/articleindex/ecr.2023.06 |
| spellingShingle | Zaki Akhtar Manav Sohal Mary N Sheppard Mark M Gallagher Transvenous Lead Extraction: Work in Progress European Cardiology Review |
| title | Transvenous Lead Extraction: Work in Progress |
| title_full | Transvenous Lead Extraction: Work in Progress |
| title_fullStr | Transvenous Lead Extraction: Work in Progress |
| title_full_unstemmed | Transvenous Lead Extraction: Work in Progress |
| title_short | Transvenous Lead Extraction: Work in Progress |
| title_sort | transvenous lead extraction work in progress |
| url | https://www.ecrjournal.com/articleindex/ecr.2023.06 |
| work_keys_str_mv | AT zakiakhtar transvenousleadextractionworkinprogress AT manavsohal transvenousleadextractionworkinprogress AT marynsheppard transvenousleadextractionworkinprogress AT markmgallagher transvenousleadextractionworkinprogress |