{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:55:34Z","timestamp":1784156134647,"version":"3.55.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2019,7,20]],"date-time":"2019-07-20T00:00:00Z","timestamp":1563580800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Abandoned leads are often linked to complications during lead extraction, prompting pre-emptive extraction if leads become non-functional. We examined their influence on complications when extracted for device-related infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>All patients undergoing lead extraction for device-related infection from 2006 to 2017 in our hospital were included. The primary endpoint was major complications. Out of 500 patients, 141 had abandoned leads, of whom 75% had only one abandoned lead. Median cumulative implant times were 24.2 (interquartile range 15.6\u201338.2) and 11.6 (5.6\u201317.4), respectively years with or without abandoned leads. All leads were extracted only with a femoral approach in 50.4% of patients. Mechanical rotational tools were introduced in 2014 and used in 22.2% of cases and replacing laser sheaths that were used in 5% of patients. Major complications occurred in 0.7% of patients with abandoned leads compared with 1.7% of patients with only active leads (P\u2009=\u20090.679). Failure to completely remove all leads was 14.9% and 6.4%, respectively with or without abandoned leads (P\u2009=\u20090.003), and clinical failure was 6.4% and 2.2% (P\u2009=\u20090.028), respectively. Procedural failure dropped to 9.2% and 5.7% (P\u2009=\u20090.37), respectively after the introduction of mechanical rotational tools. The only independent predictor of procedural and clinical failure in multivariate analysis was the cumulative implant duration.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Despite longer implant times, patients with abandoned leads did not have more major complications during lead extraction. Therefore, preventive extraction of non-functional leads to avoid complications at a later stage is not warranted.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euz197","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T23:12:29Z","timestamp":1561590749000},"page":"1378-1384","source":"Crossref","is-referenced-by-count":7,"title":["Lead extraction for cardiac implantable electronic device infection: comparable complication rates with or without abandoned leads"],"prefix":"10.1093","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2726-4327","authenticated-orcid":false,"given":"Frank","family":"Bracke","sequence":"first","affiliation":[{"name":"Department of Cardiology and Cardiopulmonary Surgery, Catharina Hospital, Michelangelolaan 2, Eindhoven, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Verberkmoes","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Cardiopulmonary Surgery, Catharina Hospital, Michelangelolaan 2, Eindhoven, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"van 't Veer","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Cardiopulmonary Surgery, Catharina Hospital, Michelangelolaan 2, Eindhoven, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berry","family":"van Gelder","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Cardiopulmonary Surgery, Catharina Hospital, Michelangelolaan 2, Eindhoven, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,19]]},"reference":[{"key":"2019091012321265400_euz197-B1","doi-asserted-by":"crossref","first-page":"e503","DOI":"10.1016\/j.hrthm.2017.09.001","article-title":"2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and 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Data from 2 high-volume centers","volume":"12","author":"El-Chami","year":"2015","journal-title":"Heart Rhythm"}],"container-title":["EP Europace"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/europace\/advance-article-pdf\/doi\/10.1093\/europace\/euz197\/28964401\/euz197.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/europace\/article-pdf\/21\/9\/1378\/29581950\/euz197.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T13:45:56Z","timestamp":1568123156000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/21\/9\/1378\/5536317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,19]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,7,19]]},"published-print":{"date-parts":[[2019,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euz197","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,9]]},"published":{"date-parts":[[2019,7,19]]}}}