{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:59:15Z","timestamp":1761562755939,"version":"3.37.3"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Jeffrey & Jo Ann Dickson Cardiac Electrophysiology Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The aim of this study is to evaluate the incidence, predictors, and outcomes of balloon-related thrombosis (BRT) in patients undergoing transvenous lead extraction (TLE). Use of an endovascular occlusion balloon has improved outcomes of superior vena cava injuries during TLE. Its thrombogenicity in clinical practice is unknown.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We prospectively evaluated consecutive patients undergoing prophylactic balloon placement during TLE utilizing two procedural workflows: one with the balloon within the inferior vena cava during the entire case (standard cohort) and one limiting the balloon\u2019s dwell time (abbreviated cohort). Intracardiac echocardiography was used to evaluate for significant BRT (thrombus &amp;gt; 1 cm) after TLE. Forty-two patients (21 in each group) were included. Age, left ventricular ejection fraction, procedural indication, number of leads, and lead dwell time were similar between the groups. Balloon dwell time was significantly longer in the standard group (128 \u00b1 74 vs. 25 \u00b1 18 min, P &amp;lt; 0.001) as was BRT (14\/21 vs. 1\/21, P &amp;lt; 0.001). Mean thrombus length and width in the standard group was 3.99 \u00b1 1.40 and 0.45 \u00b1 0.16 cm, respectively and 5.2 \u00d7 0.4 cm in one patient in the abbreviated group. Between patients with and without BRT in the standard group, balloon dwell times were similar (113 \u00b1 64 vs. 156 \u00b1 88 min, P = 0.21). One patient in the standard group had a pulmonary embolism on post-operative Day 3 and was initiated on oral anticoagulation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Prophylactic balloon placement for the entirety of the case is associated with a high incidence of BRT; a finding that is decreased when an abbreviated workflow is utilized.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euab074","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T20:23:52Z","timestamp":1616531032000},"page":"1472-1478","source":"Crossref","is-referenced-by-count":3,"title":["Endovascular occlusion balloon-related thrombosis during transvenous lead extraction"],"prefix":"10.1093","volume":"23","author":[{"given":"Naga Venkata K","family":"Pothineni","sequence":"first","affiliation":[{"name":"Electrophysiology Section, Division of Cardiovascular Medicine, Perelman\u00a0School of Medicine at the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cory M","family":"Tschabrunn","sequence":"additional","affiliation":[{"name":"Electrophysiology Section, Division of Cardiovascular Medicine, Perelman\u00a0School of Medicine at the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Carrillo","sequence":"additional","affiliation":[{"name":"Palmetto General Hospital, Hialeah, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8608-7247","authenticated-orcid":false,"given":"Robert D","family":"Schaller","sequence":"additional","affiliation":[{"name":"Electrophysiology Section, Division of Cardiovascular Medicine, Perelman\u00a0School of Medicine at the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"2021090908323668500_euab074-B1","doi-asserted-by":"crossref","first-page":"2363","DOI":"10.1161\/CIRCULATIONAHA.114.013801","article-title":"Trends in use and adverse outcomes associated with transvenous lead removal in the United States","volume":"132","author":"Deshmukh","year":"2015","journal-title":"Circulation"},{"key":"2021090908323668500_euab074-B2","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1111\/j.1540-8159.1999.tb00628.x","article-title":"Intravascular extraction of problematic or infected permanent pacemaker leads: 1994-1996. 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