{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:46:02Z","timestamp":1775954762071,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,4,23]],"date-time":"2022-04-23T00:00:00Z","timestamp":1650672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>With an increasing number of cardiac implantable electronic devices (CIEDs), there has been a paralleled increase in demand for transvenous lead extraction (TLE). Cardiac surgeons (CS) and cardiologists perform TLE; however, data comparing the two groups of operators is scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We compared the outcomes of TLE performed by cardiologists and CS from six European lead extraction units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data was collected retrospectively of 2205 patients who had 3849 leads extracted (PROMET) between 2005 and 2018. Patient demographics and procedural outcomes were compared between the CS and cardiologist groups, using propensity score matching. A multivariate regression analysis was also performed for variables associated with 30\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\nCS performed the majority of extractions (59.8%), of leads with longer dwell times (90 [57\u2013129 interquartile range (IQR)] vs. 62 [31\u2013102 IQR] months, CS vs. cardiologists, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001) and with pre\u2010dominantly non\u2010infectious indications (57.4%\u00a0vs. 50.2%, CS vs. cardiologists, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). CS achieved a higher complete success per lead than the cardiologists (98.1%\u00a0vs. 95.7%, respectively, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01), with a higher number of minor complications (5.51%\u00a0vs. 2.1%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01) and similar number of major complications (0.47%\u00a0vs. 1.3%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.12). Thirty\u2010day mortality was similarly low in the CS and cardiologist groups (1.76%\u00a0vs. 0.94%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.21). Unmatched data multivariate analysis revealed infection indication (OR 6.12 [1.9\u201320.3], <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01), procedure duration (OR 1.01 [1.01\u20131.02], <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01) and CS operator (OR 2.67, [1.12\u20136.37], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.027) were associated with 30\u2010day mortality.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TLE by CS was performed with similar safety and higher efficacy compared to cardiologists in high and medium\u2010volume lead extraction centers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14501","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T14:47:04Z","timestamp":1649861224000},"page":"658-665","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Patient related outcomes of mechanical lead extraction techniques (PROMET) study: A comparison of two professions"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9365-8826","authenticated-orcid":false,"given":"Zaki","family":"Akhtar","sequence":"first","affiliation":[{"name":"Department of Cardiology, St. George's University Hospitals NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6333-6420","authenticated-orcid":false,"given":"Mark M.","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George's University Hospitals NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed I.","family":"Elbatran","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George's University Hospitals NHS Foundation Trust  London UK"},{"name":"Department of Cardiology, Ain Shams University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-1456","authenticated-orcid":false,"given":"Christoph T.","family":"Starck","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic &amp; Vascular Surgery, German Heart Center Berlin  Berlin Germany"},{"name":"Department of Cardiovascular research, German Center of Cardiovascular Research (DZHK) partner site Berlin  Berlin Germany"},{"name":"University of Berlin Institute (STI) of Cardiovascular Perfusion  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elkin","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Departmemnt of Cardiothoracic surgery, University Hospital La Paz  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Al\u2010Razzo","sequence":"additional","affiliation":[{"name":"Departmemnt of Cardiothoracic surgery, University Hospital La Paz  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizio","family":"Mazzone","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, San Rafaele Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter\u2010Paul","family":"Delnoy","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Electrophysiology, Isala Hospital  Zwolle The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Breitenstein","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Zurich  Z\u00fcrich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Steffel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Zurich  Z\u00fcrich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Eulert\u2010Grehn","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic &amp; Vascular Surgery, German Heart Center Berlin  Berlin Germany"},{"name":"Department of Cardiovascular research, German Center of Cardiovascular Research (DZHK) partner site Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pia","family":"Lanm\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic &amp; Vascular Surgery, German Heart Center Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Melillo","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, San Rafaele Hospital  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Marzi","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Electrophysiology, Isala Hospital  Zwolle The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7485-6440","authenticated-orcid":false,"given":"Lisa WM","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George's University Hospitals NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Domenichini","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George's University Hospitals NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manav","family":"Sohal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George's University Hospitals NHS Foundation Trust  London 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