{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T10:58:59Z","timestamp":1775041139112,"version":"3.50.1"},"reference-count":35,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T00:00:00Z","timestamp":1672012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Transvenous lead extraction (TLE) is regarded as the first-line strategy for the management of complications associated with cardiac implantable electronic devices (CIEDs), when lead removal is mandatory. The decision to perform a lead extraction should take into consideration not only the strength of the clinical indication for the procedure but also many other factors such as risks versus benefits, extractor and team experience, and even patient preference. TLE is a procedure with a possible high risk of complications. In this paper, we present three clinical cases of patients who presented different indications of TLE and explain how the procedures were successfully performed. In the first clinical case, TLE was necessary because of device extravasation and suspicion of CIED pocket infection. In the second clinical case, TLE was necessary because occlusion of the left subclavian vein was found when an upgrade to cardiac resynchronization therapy was performed. In the last clinical case, TLE was necessary in order to remove magnetic resonance (MR) non-conditional leads, so the patient could undergo an MRI examination for the management of a brain tumor.<\/jats:p>","DOI":"10.3390\/ijerph20010379","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T04:42:47Z","timestamp":1672116167000},"page":"379","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Practical Approaches to Transvenous Lead Extraction Procedures\u2014Clinical Case Series"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6185-7129","authenticated-orcid":false,"given":"Paul-Mihai","family":"Boarescu","sequence":"first","affiliation":[{"name":"Department of Pharmacology, Toxicology and Clinical Pharmacology, Iuliu Ha\u0163ieganu University of Medicine and Pharmacy Cluj-Napoca, Gheorghe Marinescu Street, No. 23, 400337 Cluj-Napoca, Romania"},{"name":"\u201cNiculae St\u0103ncioiu\u201d Heart Institute Cluj-Napoca, Calea Mo\u021bilor Street, No. 19-21, 400001 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iulia Diana","family":"Popa","sequence":"additional","affiliation":[{"name":"\u201cNiculae St\u0103ncioiu\u201d Heart Institute Cluj-Napoca, Calea Mo\u021bilor Street, No. 19-21, 400001 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u0103t\u0103lin Aurelian","family":"Trifan","sequence":"additional","affiliation":[{"name":"\u201cNiculae St\u0103ncioiu\u201d Heart Institute Cluj-Napoca, Calea Mo\u021bilor Street, No. 19-21, 400001 Cluj-Napoca, Romania"},{"name":"Department of Cardiovascular Surgery, \u201cIuliu Ha\u0163ieganu\u201d University of Medicine and Pharmacy Cluj-Napoca, 19-21 Calea Mo\u021bilor Street, 400001 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adela Nicoleta","family":"Ro\u015fian","sequence":"additional","affiliation":[{"name":"\u201cNiculae St\u0103ncioiu\u201d Heart Institute Cluj-Napoca, Calea Mo\u021bilor Street, No. 19-21, 400001 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0570-0642","authenticated-orcid":false,"given":"\u015etefan Horia","family":"Ro\u015fian","sequence":"additional","affiliation":[{"name":"\u201cNiculae St\u0103ncioiu\u201d Heart Institute Cluj-Napoca, Calea Mo\u021bilor Street, No. 19-21, 400001 Cluj-Napoca, Romania"},{"name":"Department of Cardiology\u2014Heart Institute, \u201cIuliu Ha\u0163ieganu\u201d University of Medicine and Pharmacy Cluj-Napoca, 19-21 Calea Mo\u021bilor Street, 400001 Cluj-Napoca, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.hrthm.2017.03.019","article-title":"Cardiac implantable electronic device infections: Who is at greatest risk?","volume":"14","author":"Joy","year":"2017","journal-title":"Heart Rhythm."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3389\/fcvm.2017.00018","article-title":"Lead extraction of cardiac rhythm Devices: A report of a single-center experience","volume":"4","author":"Azevedo","year":"2017","journal-title":"Front. 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