Techniques for Transvenous Lead Extraction of Cardiac Implantable Electronic Devices: A Network Meta-Analysis.

ABSTRACT:

Background

Transvenous lead extraction (TLE) is procedurally complex and carries significant risk. Evidence on optimal TLE techniques is limited and lacks comparative studies.

Methods

PubMed, Embase, Cochrane Library, and Web of Science were searched through November 27, 2024. We included randomized clinical trials (RCTs) or non-randomized controlled trials (non-RCTs) comparing two or more TLE methods in adults undergoing lead extraction. A network meta-analysis was conducted to estimate pooled outcomes with 95% CIs. P-scores ranked treatments.

Results

Eleven non-RCTs and one RCT were included. No statistically significant differences were observed in patient-level clinical success or lead-level procedural success. The femoral approach was associated with a significan

SUBMITTER: Santos CKM 

PROVIDER: S-EPMC12671475 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature