{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T03:16:49Z","timestamp":1779074209910,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The rising number of cardiac implantable electronic device (CIED) implantations in Asia is expected to increase CIED\u2010related infections and lead malfunctions. Establishing a lead extraction program is therefore essential. We describe the set\u2010up and early implementation of the University of the Philippines\u2010Philippine General Hospital (UP\u2010PGH) Lead Extraction Program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data on preoperative, intraoperative, and postoperative management were collected, along with details on resources, personnel, and workflows. A descriptive analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The UP\u2010PGH Lead Extraction Program was launched on September 1, 2023. Key components\u2010including personnel training, equipment procurement, hospital support, and workflow development\u2010were successfully implemented. Within the first year, four procedures (eight leads) were completed (mean patient age: 60.75\u2009years; lead dwell time: median of 6.2\u2009years [IQR 10.15]; indication: infected pacemaker and ICD leads). All leads were completely removed without complications. The workflow included a structured preoperative process, including risk assessment, required investigations, antibiotic initiation, and subspecialty input. Intraoperative procedure included workflow optimization, materials readiness, and complication monitoring, which were prioritized during lead extraction. Post\u2010procedure care involved completion of antibiotic treatment, culture processing, device reimplantation, and follow\u2010up. These measures enabled safe lead removal by an electrophysiologist\u2010led extraction team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This successful launch of the UP\u2010PGH Lead Extraction Program demonstrated that developing countries can feasibly establish such programs with well\u2010defined workflows and adequate resource planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70163","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T06:53:36Z","timestamp":1757919216000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Establishing a Cardiac Implantable Electronic Device Lead Extraction Program in a Resource\u2010Limited Setting"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0546-9177","authenticated-orcid":false,"given":"Giselle G.","family":"Gervacio","sequence":"first","affiliation":[{"name":"Section of Electrophysiology and Pacing, Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"},{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jhobeleen D. De","family":"Leon","sequence":"additional","affiliation":[{"name":"Section of Electrophysiology and Pacing, Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"},{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Joseph C.","family":"Agbayani","sequence":"additional","affiliation":[{"name":"Section of Electrophysiology and Pacing, Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"},{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula Victoria","family":"Cheng\u2010Bromeo","sequence":"additional","affiliation":[{"name":"Section of Electrophysiology and Pacing, Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"},{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam Adrian P.","family":"Aya\u2010ay","sequence":"additional","affiliation":[{"name":"Section of Electrophysiology and Pacing, Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"},{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonaiha G.","family":"Rangiris","sequence":"additional","affiliation":[{"name":"Section of Cardiac Electrophysiology St. Luke's Heart Institute  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard S.","family":"Nicolas","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix Eduardo R.","family":"Punzalan","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"A\u00f1onuevo","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine University of the Philippines\u2010Philippine General Hospital  Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,14]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2018.0444"},{"key":"e_1_2_14_3_1","volume-title":"White Book 2023: A Report of the Asia Pacific Heart Rhythm Society","author":"Asia Pacific Heart Rhythm Society","year":"2023"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.69944\/pjc.86d3e9ee0e"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.09.001"},{"key":"e_1_2_14_6_1","first-page":"1217","volume-title":"EHRA Expert Consensus Statement on Lead Extraction: Recommendations on Definitions, Endpoints, Research Trial Design, and Data Collection Requirements for Clinical Scientific Studies and Registries: Endorsed by APHRS\/HRS\/LAHRS","author":"Bongiorni M. G.","year":"2018"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.01.038"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.37616\/2212-5043.1359"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-021-01706-5"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2015.01.537"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2011.08.004"},{"key":"e_1_2_14_12_1","article-title":"Discussing the Prognosis and Complications of Transvenous Lead Extraction in Patients With Cardiac Implantable Electronic Devices (CIED): A Systematic Review","volume":"15","author":"Salib K.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2022.07.012"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx080"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12678"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.08.070"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.011115"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.70163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T14:47:34Z","timestamp":1761662854000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.70163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,14]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/joa3.70163"],"URL":"https:\/\/doi.org\/10.1002\/joa3.70163","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"value":"1880-4276","type":"print"},{"value":"1883-2148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,14]]},"assertion":[{"value":"2025-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70163"}}