Predictors of lead break during transvenous lead extraction.

ABSTRACT:

Background

The incidence, predictors, and clinical impact of lead break during transvenous lead extraction (TLE) were previously unknown.

Methods

We included consecutive patients who underwent TLE between September 2013 and July 2019 at our institute. Lead break during removal was defined as lead stretching and becoming misshapen, as assessed by fluoroscopy.

Results

A total of 246 patients underwent TLE for 501 leads. At a patient level, complete success was achieved in 226 patients (91.9%). At a lead level, 481 leads (96.0%) were completely removed and 101 leads (20.1%) were broken during the procedure. Of 392 identified pacemaker leads, 71 (18.3%) were broken during the TLE procedure. A multivariable analysis confirmed high lead age (odds ratio [OR] 1.12, 95% confid

SUBMITTER: Morita J 

PROVIDER: S-EPMC8207345 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature