title: Multidisciplinary approach to transvenous lead extraction: a single center's experience.
abstract: OBJECTIVE
  To evaluate the success and complication rates of a single center's multidisciplinary approach to transvenous lead extraction.
  
  
  METHODS
  One university hospital.
  
  
  METHODS
  One hundred ninety-five patients scheduled for transvenous lead extraction.
  
  
  METHODS
  A multidisciplinary approach to transvenous lead extraction involving cardiac surgery, electrophysiology, perfusion, and cardiac anesthesiology.
  
  
  RESULTS
  A case series of 351 lead extractions performed in 195 patients over a 42-month period. Indications, success rates, and complication rates were tracked and retrospectively evaluated and reported. Indications for lead extraction included 53.3% because of lead malfunction, 36.9% because of infection, with the remaining 9.7% from other categories such as venous stenosis. The lead extraction rate was 99.7%, with complete removal in 97.7%. The overall major complication rate was 3.08%. After an initial 1-year period of performing lead extractions, the overall major complication rate reduced to 1.23%.
  
  
  CONCLUSIONS
  Transvenous lead extraction generally is a safe procedure, but not without complications. A multidisciplinary approach involving cardiac surgery, electrophysiology, and cardiac anesthesiology allows for successful management and the ability to rapidly manage major complications.
authors: Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California. Electronic address: tmaus@ucsd.edu.
authors: Timothy M
authors: TM
authors: Maus
authors: Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California.
authors: Jesse
authors: J
authors: Shurter
authors: Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California.
authors: Liem
authors: L
authors: Nguyen
authors: Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California.
authors: Ulrika
authors: U
authors: Birgersdotter-Green
authors: Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California.
authors: Victor
authors: V
authors: Pretorius
mesh_terms: D020878:Device Removal / Q000379:methods* / Q000706:statistics & numerical data; D017548:Echocardiography, Transesophageal; D004567:Electrodes, Implanted; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
keywords: multidisciplinary; transesophageal echocardiography; transvenous lead extraction