Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in the Centro Cardiologico Monzino involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality. The present paper reports procedural outcomes and complications of the lead extraction experience of Centro Cardiologico Monzino and Department of Clinical Science and Community Health, University of Milan.
The Authors retrospectively collected and analysed data from 150 consecutive patients undergoing cardiac implantable electronic device leads TLE at the IRCCS Centro Cardiologico Monzino between January 2011 and November 2017. They documented procedural success in 97.3% of patients, concluding that, – in this specific single center experience, a multidisciplinary approach involving electrophysiologist, cardiac surgeon, anaesthesiologist in an operating room allows a safer approach and major complications treatment.
1. Roberto M, Sicuso R, Manganiello S, Catto V, Salvi L, Nafi M, Casella M, Rossi F, Grillo F, Saccocci M, Gasperetti A, Cervellione R, Carcione D, Alamanni F, Tondo C, Dello Russo A. Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience. Int J Cardiol 2019 Jan 3. pii: S0167-5273(18)36956-0. doi: 10.1016/j.ijcard.2018.12.074. [Epub ahead of print] Go to PubMed