Lead Extraction History, Training, Volume, and Location.
Autor: | Schaller RD; Division of Cardiovascular Medicine, Department of Medicine, Cardiac Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. Electronic address: robert.schaller@pennmedicine.upenn.edu., Zeitler EP; Department of Medicine, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA., Kroman A; Division of Cardiology, Department of Medicine, Medical University of South Carolina, 30 Courtenay Drive, Charleston, SC 29425, USA. |
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Jazyk: | angličtina |
Zdroj: | Cardiac electrophysiology clinics [Card Electrophysiol Clin] 2024 Dec; Vol. 16 (4), pp. 393-402. Date of Electronic Publication: 2024 Sep 20. |
DOI: | 10.1016/j.ccep.2024.07.001 |
Abstrakt: | Transvenous lead extraction (TLE) has evolved significantly since the introduction of cardiac pacing systems in the 1950s. The need for TLE has grown due to the increasing complexity of cardiac devices and patients, alongside rising infection rates and regulatory recalls. Despite its challenges, improved institutional support and advanced training programs have made TLE more accessible. Modern TLE indications are well-defined, evolving through scientific statements to include comprehensive lead management best practices and safety protocols. However, underutilization persists, particularly in infection management, highlighting the need for continued education and adherence to guidelines. Competing Interests: Disclosure Dr R.D. Schaller and Dr A. Kroman receive speaking honoraria from Philips. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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