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April 5, 2026JACC. Clinical electrophysiology0 citationsOpen Access

Retained Wire Lead Extraction Techniques in Patients With Venous Occlusion

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CNChristoffel J. van NiekerkMCMaxime CerantolaASAlan Sugrue

Key Result

Retained wire techniques are safe and effective for managing venous occlusion during CIED revision, with the wire-in-lumen method demonstrating the highest success and broadest applicability.

Key Points

  • The study aims to evaluate the effectiveness of retained wire lead extraction techniques in managing venous occlusion during cardiac device procedures.
  • Analyzed various techniques for wire lead extraction during CIED revision.
  • Focused on cases involving venous occlusion.
  • Assessed success rates and applicability of different methods.
  • The wire-in-lumen technique showed the highest success rate.
  • Retained wire techniques were deemed safe for managing venous occlusion.
  • Applicability of methods varied based on lead mobility and dwell time.

Structured PICO

Do retained wire techniques safely and effectively manage venous occlusion during CIED revision or upgrade?

P
Population
Patients with venous occlusion undergoing cardiovascular implantable electronic device (CIED) revision or upgrade
I
Intervention
Retained wire techniques (specifically wire-in-lumen technique)
O
Outcome
Safety and effectiveness (procedural success)safety

Retained wire techniques, particularly the wire-in-lumen approach, provide a safe and effective strategy for managing venous occlusion during CIED procedures.

Abstract

Retained wire techniques offer a safe and effective solution for managing venous occlusion during CIED revision or upgrade, particularly when leads are mobile and dwell time is modest. The wire-in-lumen technique demonstrated the highest success and broadest applicability.

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Cite This Study

Niekerk et al. (2026) studied this question. Retained wire techniques are safe and effective for managing venous occlusion during CIED revision, with the wire-in-lumen method demonstrating the highest success and broadest applicability.

synapsesocial.com/papers/69d1fc28a79560c99a0a1cb7https://doi.org/10.1016/j.jacep.2026.02.025
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