{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:11:14Z","timestamp":1777734674650,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The increasing use of cardiac implantable electronic devices (CIEDs) has led to a progressive increase in transvenous lead extraction (TLE) procedures. Due to immune compromise and systemic dysfunction, hemodialysis (HD) patients face higher risks of device\u2010related infection and need for TLE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluates TLE outcomes in dialysis patients and identifies predictors of 30\u2010day all\u2010cause mortality (ACM). Subgroup analysis focuses on dialysis patients undergoing TLE for infectious indications to determine predictors of adverse outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective review of TLE procedures performed from 2013 to 2022 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091614) identified 53 patients (3.3%) on HD. Procedural outcomes and 30\u2010day ACM were compared between HD and non\u2010HD cohorts using chi\u2010square tests. Predictors of 30\u2010day ACM were assessed with Cox regression. For HD patients with infectious indications (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200948), preprocedural findings, including pocket infection, positive blood cultures, and intracardiac mass, were evaluated for their impact on outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Procedural success and complication rates were similar between HD and non\u2010HD groups, but 30\u2010day ACM was significantly higher in HD patients (13.2% vs. 2%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Independent predictors of 30\u2010day ACM included HD, infectious indication for TLE, and NYHA Class 3\/4 symptoms. Among HD patients with infectious indications, visualization of intracardiac mass on echocardiography predicted higher 30\u2010day ACM (33.3% vs. 6.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and was confirmed as an independent predictor (OR 24.88; 95% CI 1.7\u2013374.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dialysis is an independent predictor of 30\u2010day ACM after TLE. In dialysis patients with infectious indications, intracardiac mass is a prognostic factor for adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70113","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:40:23Z","timestamp":1761543623000},"page":"3033-3039","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Transvenous Lead Extraction Outcomes in Hemodialysis Patients: Markers for Increased Mortality"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3685-3318","authenticated-orcid":false,"given":"Aritra","family":"Paul","sequence":"first","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7269-9808","authenticated-orcid":false,"given":"Katsuhide","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kashyap","family":"Bodi","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Baranowski","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arshneel","family":"Kochar","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Taigen","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Rickard","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oussama","family":"Wazni","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Callahan","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology and Pacing Cleveland Clinic Foundation\u2010Main Campus Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.01.039"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.04.033"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2005101085"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.09.001"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.117.005706"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.08.003"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2016.06.009"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0272-6386(12)80091-6"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.10.034"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12164"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehae127"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.8653"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0894-7317(97)70011-7"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2021.10.071"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2013.11.018"}],"container-title":["Journal 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