Feasibility and Outcomes of Intravenous Lithotripsy as an Adjunct in Complex Transvenous Lead Extraction

Key Points

• The aim is to evaluate the feasibility and outcomes of using intravenous lithotripsy during complex transvenous lead extraction procedures.
• Analyzed the largest series of cases involving shockwave IVL
• Reported on fluoroscopy and procedure durations
• Assess safety and efficacy outcomes of adjunctive IVL
• Increased procedure durations and fluoroscopy time observed
• Adjunctive IVL showed favorable safety outcomes
• No clear clinical benefit was noted despite efficacy being present
• Complexity of lead removal remained challenging