Attitude towards redundant leads and the practice of lead extractions: a European survey

Abstract

This survey has compared attitudes towards (endocardial) lead extraction, among European electrophysiology centres, with special attention paid to 'redundant leads'. The main findings of this survey are: (i) most of the centres performing lead extractions do so in low volume even though the number of implants may be high. (ii) Approaches to the practice of lead extraction are based largely on clinical experience and individual sentiment but not on a rigorous evidence based. (iii) Traction alone or in combination with extraction tools (but not laser) are commonly used for extraction. (iv) The perception of need for involvement of cardio-thoracic surgeon varies.