{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:03:15Z","timestamp":1788498195025,"version":"build-2803163510"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T00:00:00Z","timestamp":1674172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,30]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To analyze and compare the effectiveness and safety of transvenous lead extraction (TLE) of implantable cardioverter-defibrillator (ICD) leads with a dwell time of &amp;gt;10 years (Group A) vs. younger leads (Group B) using mechanical extraction systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>Between October 2011 and July 2022, we performed TLE in 318 patients. Forty-six (14.4%) extracted ICD leads in 46 (14.5%) patients that had been implanted for &amp;gt;10 years. The median dwell time of all extracted ICD leads was 5.9 years. Cardiovascular implantable electronic device-related infection was an indication for TLE in 31.8% of patients. Complete ICD leads removal and complete procedural success in both groups were similar (95.7% in Group A vs. 99.6% in Group B, P = 0.056% and 95.6% in Group A vs. 99.6% in Group B, P = 0.056, respectively). We did not find a significant difference between major and minor complication rates in both groups (6.5% in Group A vs. 1.5% in Group B and 2.2% in Group A vs. 1.8% in Group B, P = 0.082, respectively). One death associated with the TLE procedure was recorded in Group B.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The TLE procedures involving the extraction of old ICD leads were effective and safe. The outcomes of ICD lead removal with a dwell time of &amp;gt;10 years did not differ significantly compared with younger ICD leads. However, extraction of older ICD leads required more frequent necessity for utilizing multiple extraction tools, more experience and versatility of the operator, and increased surgery costs.<\/jats:p><\/jats:sec>","DOI":"10.1093\/europace\/euac272","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T07:04:12Z","timestamp":1674198252000},"page":"1100-1109","source":"Crossref","is-referenced-by-count":19,"title":["Mechanical extraction of implantable cardioverter-defibrillator leads with a dwell time of more than 10 years: insights from a single high-volume centre"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8331-3210","authenticated-orcid":false,"given":"Andrzej","family":"Z\u0105bek","sequence":"first","affiliation":[{"name":"Department of Electrocardiology, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , Poland"},{"name":"Institute of Cardiology, Jagiellonian University Medical College , 12 \u015awi\u0119tej Anny Street, 31-008, Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1833-2404","authenticated-orcid":false,"given":"Krzysztof","family":"Boczar","sequence":"additional","affiliation":[{"name":"Department of Electrocardiology, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz","family":"Ulman","sequence":"additional","affiliation":[{"name":"Department of Electrocardiology, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6895-4076","authenticated-orcid":false,"given":"Katarzyna","family":"Holcman","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Vascular Diseases, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Kostkiewicz","sequence":"additional","affiliation":[{"name":"Institute of Cardiology, Jagiellonian University Medical College , 12 \u015awi\u0119tej Anny Street, 31-008, Krakow , Poland"},{"name":"Department of Cardiac and Vascular Diseases, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8676-9341","authenticated-orcid":false,"given":"Roman","family":"Pfitzner","sequence":"additional","affiliation":[{"name":"Institute of Cardiology, Jagiellonian University Medical College , 12 \u015awi\u0119tej Anny Street, 31-008, Krakow , Poland"},{"name":"Department of Cardiac and Vascular Surgery, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3669-3916","authenticated-orcid":false,"given":"Maciej","family":"D\u0119bski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Norfolk and Norwich University Hospital, University of East Anglia , Norwich NR4 7TJ , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5349-2625","authenticated-orcid":false,"given":"Robert","family":"Musia\u0142","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, The John Paul II Hospital , Krakow , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0301-8946","authenticated-orcid":false,"given":"Jacek","family":"Lelakowski","sequence":"additional","affiliation":[{"name":"Department of Electrocardiology, The John Paul II Hospital , 80 Pr\u0105dnicka Street, 31-202, Krakow , 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