The current practice and perception of cardiac implantable electronic device transvenous lead extraction in the UK

The number of patients requiring an extraction of cardiac implantable electronic devices (CIEDs) is rising. Lead extraction of chronically implanted leads is a highly specialized procedure and the Heart Rhythm Society published a consensus document outlining best practice. We sought to ascertain the...

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Bibliographic Details
Published in:Europace (London, England) England), 2013-06, Vol.15 (6), p.865-870
Main Authors: Sohal, Manav, Williams, Steven E, Arujuna, Aruna, Chen, Zhong, Bostock, Julian, Gill, Jaswinder S, Rinaldi, Christopher Aldo
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Data Collection
Defibrillators, Implantable - statistics & numerical data
Device Removal - mortality
Electrodes, Implanted - statistics & numerical data
Humans
Incidence
Pacemaker, Artificial - statistics & numerical data
Physicians - statistics & numerical data
Postoperative Complications - mortality
Practice Patterns, Physicians' - statistics & numerical data
Survival Analysis
Survival Rate
United Kingdom - epidemiology
Workload - statistics & numerical data
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Summary:The number of patients requiring an extraction of cardiac implantable electronic devices (CIEDs) is rising. Lead extraction of chronically implanted leads is a highly specialized procedure and the Heart Rhythm Society published a consensus document outlining best practice. We sought to ascertain the current practice and perception of lead extraction in the UK. A prospective e-mail survey consisting of 21 questions was sent to members of Heart Rhythm UK. Key areas for exploration included case volume, settings for extraction procedures, levels of surgical support, preferred techniques, and the perceptions of difficulty, risk, morbidity, and mortality associated with lead extraction. Thirty responses were received giving a response rate of 9.3%. Eighty-three per cent of responders performed extractions regularly and of these 92% were electrophysiologists. Median number of cases performed per year was 13 (interquartile range 6-26). Fifty-six per cent performed
ISSN:1099-5129
1532-2092
DOI:10.1093/europace/eus383