Transvenous Lead Extraction Procedure—Indications, Methods, and Complications

Transvenous lead extraction (TLE) is a complex and technically challenging procedure useful in the management strategy for many complications related to the presence of cardiac implantable electronic devices (CIEDs). The decision to perform lead extraction should take into consideration the clinical...

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Main Authors: Paul-Mihai Boarescu, Adela-Nicoleta Roşian, Ştefan Horia Roşian
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/11/2780
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author Paul-Mihai Boarescu
Adela-Nicoleta Roşian
Ştefan Horia Roşian
author_facet Paul-Mihai Boarescu
Adela-Nicoleta Roşian
Ştefan Horia Roşian
author_sort Paul-Mihai Boarescu
collection DOAJ
description Transvenous lead extraction (TLE) is a complex and technically challenging procedure useful in the management strategy for many complications related to the presence of cardiac implantable electronic devices (CIEDs). The decision to perform lead extraction should take into consideration the clinical indication for the procedure, risks versus benefits, extractor and team experience, and also patient preference for the procedure. A variety of techniques can be used when performing TLE procedures, such as simple traction, traction devices, and various types of sheaths or snares. TLE is a procedure with a potentially high risk of complications that can be divided into major complications, which require rapid intervention, and minor complications, which are more frequent but are not life-threatening. The present review aims to highlight the indications, contraindications, methods, and complications of transvenous lead extraction procedures.
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spelling doaj.art-69a3be64dc874282873fa44eb47fbc182023-11-24T03:50:35ZengMDPI AGBiomedicines2227-90592022-11-011011278010.3390/biomedicines10112780Transvenous Lead Extraction Procedure—Indications, Methods, and ComplicationsPaul-Mihai Boarescu0Adela-Nicoleta Roşian1Ştefan Horia Roşian2Department of Pharmacology, Toxicology and Clinical Pharmacology, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Gheorghe Marinescu Street No. 23, 400337 Cluj-Napoca, Romania“Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street No. 19-21, 400001 Cluj-Napoca, Romania“Niculae Stăncioiu” Heart Institute Cluj-Napoca, Calea Moților Street No. 19-21, 400001 Cluj-Napoca, RomaniaTransvenous lead extraction (TLE) is a complex and technically challenging procedure useful in the management strategy for many complications related to the presence of cardiac implantable electronic devices (CIEDs). The decision to perform lead extraction should take into consideration the clinical indication for the procedure, risks versus benefits, extractor and team experience, and also patient preference for the procedure. A variety of techniques can be used when performing TLE procedures, such as simple traction, traction devices, and various types of sheaths or snares. TLE is a procedure with a potentially high risk of complications that can be divided into major complications, which require rapid intervention, and minor complications, which are more frequent but are not life-threatening. The present review aims to highlight the indications, contraindications, methods, and complications of transvenous lead extraction procedures.https://www.mdpi.com/2227-9059/10/11/2780transvenous lead extractioncardiac implantable electronic devicesclinical cases
spellingShingle Paul-Mihai Boarescu
Adela-Nicoleta Roşian
Ştefan Horia Roşian
Transvenous Lead Extraction Procedure—Indications, Methods, and Complications
Biomedicines
transvenous lead extraction
cardiac implantable electronic devices
clinical cases
title Transvenous Lead Extraction Procedure—Indications, Methods, and Complications
title_full Transvenous Lead Extraction Procedure—Indications, Methods, and Complications
title_fullStr Transvenous Lead Extraction Procedure—Indications, Methods, and Complications
title_full_unstemmed Transvenous Lead Extraction Procedure—Indications, Methods, and Complications
title_short Transvenous Lead Extraction Procedure—Indications, Methods, and Complications
title_sort transvenous lead extraction procedure indications methods and complications
topic transvenous lead extraction
cardiac implantable electronic devices
clinical cases
url https://www.mdpi.com/2227-9059/10/11/2780
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AT stefanhoriarosian transvenousleadextractionprocedureindicationsmethodsandcomplications