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Systematic review and meta-analysis of the safety and efficacy of transvenous lead extraction in octogenarian patients.

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Title: Systematic review and meta-analysis of the safety and efficacy of transvenous lead extraction in octogenarian patients.
Authors: Drożdż G; Department of General Internal Medicine, HOCH Ostschweiz, St. Gallen, Switzerland., Doroszko A; Division of Cardiology, Centre for Heart Diseases, 4th Military Clinical Hospital, Wrocław, Poland.; Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland., Banasiak W; Division of Cardiology, Centre for Heart Diseases, 4th Military Clinical Hospital, Wrocław, Poland.; Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland., Sobieszczańska M; Clinical Department of Geriatrics and Internal Diseases, Wroclaw Medical University, Wrocław, Poland., Ptaszkowski K; University Centre of Physiotherapy and Rehabilitation, Wroclaw Medical University, Wrocław, Poland., Jagielski D; Division of Cardiology, Centre for Heart Diseases, 4th Military Clinical Hospital, Wrocław, Poland.; Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland.
Source: Polish archives of internal medicine [Pol Arch Intern Med] 2026 Apr 29; Vol. 136 (4). Date of Electronic Publication: 2026 Mar 05.
Publication Type: Journal Article; Systematic Review; Meta-Analysis
Language: English
Journal Info: Publisher: Medycyna Praktyczna Country of Publication: Poland NLM ID: 101700960 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1897-9483 (Electronic) Linking ISSN: 00323772 NLM ISO Abbreviation: Pol Arch Intern Med Subsets: MEDLINE
Imprint Name(s): Original Publication: Liszki, Poland : Medycyna Praktyczna, [2017]-
MeSH Terms: Device Lead Extraction*/methods , Pacemaker, Artificial* , Defibrillators, Implantable*, Humans ; Aged, 80 and over ; Treatment Outcome ; Female ; Male ; Age Factors
Abstract: Introduction: As the global population ages and the use of cardiac implantable electronic devices (CIEDs) increases, transvenous lead extraction (TLE) is being performed more frequently in elderly patients. Concerns remain regarding its safety and efficacy in octogenarians, and age‑specific recommendations are limited.
Objectives: We aimed to assess procedural success, complication rates, and mortality associated with TLE in patients aged 80 years or older in comparison with younger individuals.
Patients and Methods: A systematic search of PubMed, Cochrane CENTRAL, SciELO, and ScienceDirect was conducted up to December 2024. Studies reporting TLE outcomes in octogenarians and younger patients were included according to predefined criteria. A meta‑analysis was performed to compare procedural success, complications, and mortality between the age groups.
Results: Seventeen studies including 15 984 patients were analyzed. Complete lead extraction success was 96.7% in octogenarians and 96.2% in the patients aged below 80 years. No significant differences were observed in major or minor procedural complications. In‑hospital mortality was low and comparable between the groups. Although long‑term mortality was higher in the octogenarians, this reflected greater baseline comorbidity and frailty rather than increased procedural risk. None of the included studies demonstrated higher periprocedural danger of TLE in elderly patients.
Conclusions: TLE is safe and effective in patients aged 80 years and older, with outcomes comparable to younger individuals. Advanced age alone should not preclude referral for lead extraction.
References: Kitzman DW, Whellan DJ, Duncan P, et al. Physical rehabilitation for older patients hospitalized for heart failure. N Engl J Med. 2021; 385: 203-216. (PMID: 10.1056/nejmoa2026141)
Wang Y, Xiao Y, Tang J, et al. Effects of early phase 1 cardiac rehabilitation on cardiac function evaluated by impedance cardiography in patients with coronary heart disease and acute heart failure. Front Cardiovasc Med. 2022; 9: 1-10. (PMID: 10.3389/fcvm.2022.958895)
Pecha S, Chung DU, Burger H, et al. Laser lead extraction in octo- and nonagenarians: a subgroup analysis from the GALLERY registry. J Cardiovasc Electrophysiol. 2023; 34: 1951-1960. (PMID: 10.1111/jce.16018)
Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021; 42: 3427-3520. (PMID: 10.1093/eurheartj/ehab699)
Al-Maisary S, Romano G, Karck M, et al. Octogenarian patients and laser-assisted lead extraction: should we put a limit? PLoS One. 2023; 18: 1-8. (PMID: 10.1371/journal.pone.0284802)
Williams SE, Arujuna A, Whitaker J, et al. Percutaneous extraction of cardiac implantable electronic devices in octogenarians. Pacing Clin Electrophysiol. 2012; 35: 841-849. (PMID: 10.1111/j.1540-8159.2012.03400.x)
El-Chami MF, Sayegh MN, Patel A, et al. Procedural outcomes and long-term survival following lead extraction in octogenarians. Pacing Clin Electrophysiol. 2017; 40: 868-872. (PMID: 10.1111/pace.13113)
Smith MC, Love CJ. Extraction of transvenous pacing and ICD leads. Pacing Clin Electrophysiol. 2008; 31: 736-752. (PMID: 10.1111/j.1540-8159.2008.01079.x)
Varahan SL, Pretorius V, Birgersdotter-Green U. Transvenous lead extraction: a step-by-step approach. Interv Cardiol Rev. 2011; 6: 106-112. (PMID: 10.1007/978-88-470-1466-4_3)
Przybylski A, Jagielski D, Hrymniak B, et al. Employment of the Evolution RL sheath as a first-choice device shortens transvenous lead extraction time without affecting procedural safety and efficacy compared to its auxiliary use: insights from the prospective multicenter EVO registry. Adv Clin Exp Med. 2023; 32: 1249-1256. (PMID: 10.17219/acem/161961)
Kusumoto FM, Schoenfeld MH, Wilkoff BL, et al. 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction. Heart Rhythm. 2017; 14: e503-e551. (PMID: 10.1016/j.hrthm.2017.09.001)
Boarescu P-M, Roşian A-N, Roşian ŞH. Transvenous lead extraction procedure: indications, methods, and complications. Biomedicines. 2022; 10: 2780-2790. (PMID: 10.3390/biomedicines10112780)
Polewczyk A, Jacheć W, Polewczyk M, et al. Outcomes of patients with definite and possible infective endocarditis related to a cardiac implantable electronic device. Pol Arch Intern Med. 2024; 134: 16775. (PMID: 10.20452/pamw.16775)
Pelargonio G, Narducci ML, Russo E, et al. Safety and effectiveness of transvenous lead extraction in octogenarians. J Cardiovasc Electrophysiol. 2012; 23: 1103-1108. (PMID: 10.1111/j.1540-8167.2012.02372.x)
Burger H, Hakmi S, Petersen J, et al. Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths. Pacing Clin Electrophysiol. 2021; 44: 601-606. (PMID: 10.1111/pace.14195)
Akhtar Z, Elbatran AI, Starck CT, et al. Transvenous lead extraction: the influence of age on patient outcomes in the PROMET study cohort. Pacing Clin Electrophysiol. 2021; 44: 1540-1548. (PMID: 10.1111/pace.14310)
Zucchelli G, Di Cori A, Segreti L, et al. Major cardiac and vascular complications after transvenous lead extraction: acute outcome and predictive factors from the ESC-EHRA ELECTRa registry. Europace. 2019; 21: 771-780. (PMID: 10.1093/europace/euy300)
Bongiorni MG, Kennergren C, Butter C, et al. The European Lead Extraction Controlled (ELECTRa) study: a European Heart Rhythm Association registry of transvenous lead extraction outcomes. Eur Heart J. 2017; 38: 2995-3005. (PMID: 10.1093/eurheartj/ehx080)
Jacheć W, Polewczyk A, Segreti L, et al. Risk factors and long-term survival of octogenarians and nonagenarians undergoing transvenous lead extraction procedures. Gerontology. 2021; 67: 36-48. (PMID: 10.1159/000511358)
Giannotti Santoro M, Segreti L, Zucchelli G, et al. Transvenous lead extraction: efficacy and safety of the procedure in octogenarian patients. Pacing Clin Electrophysiol. 2020; 43: 382-387. (PMID: 10.1111/pace.13896)
Migliore F, Pittorru R, Dall’Aglio PB, et al. Outcomes of transvenous lead extraction in octogenarians using bidirectional rotational mechanical sheaths. Pacing Clin Electrophysiol. 2023; 46: 960-968. (PMID: 10.1111/pace.14696)
Kempa M, Budrejko S, Piepiorka M, et al. Safety and effectiveness of transvenous extraction of pacemaker and implantable cardioverter-defibrillator leads in patients under or over 80 years of age. Kardiol Pol. 2013; 71: 130-135. (PMID: 10.5603/kp.2013.0005)
Rodriguez Y, Garisto JD, Carrillo RG. Laser lead extraction in the octogenarian patient. Circ Arrhythm Electrophysiol. 2011; 4: 719-723. (PMID: 10.1161/circep.111.964270)
Yagishita A, Goya M, Sekigawa M, et al. Transvenous excimer laser-assisted lead extraction of cardiac implantable electrical devices in the Japanese elderly population. J Cardiol. 2020; 75: 410-414. (PMID: 10.1016/j.jjcc.2019.09.005)
Sidhu BS, Gould J, Sieniewicz B, et al. The role of transvenous lead extraction in the management of redundant or malfunctioning pacemaker and defibrillator leads post ELECTRa. Europace. 2018; 20: 1733-1740. (PMID: 10.1093/europace/euy018)
Koneru JN, Ellenbogen KA. ELECTRa-from myth to aletheia: risk factors for transvenous lead extraction in the ancillary analysis of the European Lead Extraction Controlled study. Europace. 2019; 21: 688-689. (PMID: 10.1093/europace/euy324)
Ząbek A, Boczar K, Dębski M, et al. Indications for transvenous lead extraction and its procedural and early outcomes in elderly patients: a single-center experience. Pol Arch Intern Med. 2020; 130: 216-224. (PMID: 10.20452/pamw.15182)
Zhou X, Ze F, Li X, et al. Efficacy and safety of transvenous lead extraction in the Chinese octogenarian patients. Clin Cardiol. 2021; 44: 971-977. (PMID: 10.1002/clc.23629)
Lin AY, Lupercio F, Ho G, et al. Safety and efficacy of cardiovascular implantable electronic device extraction in elderly patients: a meta-analysis and systematic review. Heart Rhythm O2. 2020; 1: 250-258. (PMID: 10.1016/j.hroo.2020.07.005)
Kennergren C, Bjurman C, Wiklund R, Gäbel J. A single-centre experience of over one thousand lead extractions. Europace. 2009; 11: 612-617. (PMID: 10.1093/europace/eup054)
Kutarski A, Polewczyk A, Boczar K, et al. Safety and effectiveness of transvenous lead extraction in elderly patients. Cardiol J. 2014; 21: 47-52. (PMID: 10.5603/cj.a2013.0084)
Okada A, Tabata H, Shoda M, et al. Safe and effective transvenous lead extraction for elderly patients utilizing non-laser and laser tools: a single-center experience in Japan. Heart Vessels. 2021; 36: 882-889. (PMID: 10.1007/s00380-020-01761-3)
Golińska-Grzybała K, Trębacz J, Stąpór M, et al. Successful edge-to-edge repair of iatrogenic tricuspid regurgitation related to pacemaker lead extraction. Pol Arch Intern Med. 2025; 135: 17037. (PMID: 10.20452/pamw.17037)
Entry Date(s): Date Created: 20260311 Date Completed: 20260710 Latest Revision: 20261011
Update Code: 20261012
DOI: 10.20452/pamw.17246
PMID: 41811213
Database: MEDLINE
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  Data: Systematic review and meta-analysis of the safety and efficacy of transvenous lead extraction in octogenarian patients.
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  Data: <searchLink fieldCode="AU" term="%22Drożdż+G%22">Drożdż G</searchLink>; Department of General Internal Medicine, HOCH Ostschweiz, St. Gallen, Switzerland.<br /><searchLink fieldCode="AU" term="%22Doroszko+A%22">Doroszko A</searchLink>; Division of Cardiology, Centre for Heart Diseases, 4th Military Clinical Hospital, Wrocław, Poland.; Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland.<br /><searchLink fieldCode="AU" term="%22Banasiak+W%22">Banasiak W</searchLink>; Division of Cardiology, Centre for Heart Diseases, 4th Military Clinical Hospital, Wrocław, Poland.; Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland.<br /><searchLink fieldCode="AU" term="%22Sobieszczańska+M%22">Sobieszczańska M</searchLink>; Clinical Department of Geriatrics and Internal Diseases, Wroclaw Medical University, Wrocław, Poland.<br /><searchLink fieldCode="AU" term="%22Ptaszkowski+K%22">Ptaszkowski K</searchLink>; University Centre of Physiotherapy and Rehabilitation, Wroclaw Medical University, Wrocław, Poland.<br /><searchLink fieldCode="AU" term="%22Jagielski+D%22">Jagielski D</searchLink>; Division of Cardiology, Centre for Heart Diseases, 4th Military Clinical Hospital, Wrocław, Poland.; Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland.
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  Data: <searchLink fieldCode="JN" term="%22101700960%22">Polish archives of internal medicine</searchLink> [Pol Arch Intern Med] 2026 Apr 29; Vol. 136 (4). <i>Date of Electronic Publication: </i>2026 Mar 05.
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  Data: <i>Original Publication</i>: Liszki, Poland : Medycyna Praktyczna, [2017]-
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  Data: <searchLink fieldCode="MM" term="%22Device+Lead+Extraction%22">Device Lead Extraction*</searchLink>/<searchLink fieldCode="MM" term="%22Device+Lead+Extraction+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Pacemaker%2C+Artificial%22">Pacemaker, Artificial*</searchLink> <br /><searchLink fieldCode="MM" term="%22Defibrillators%2C+Implantable%22">Defibrillators, Implantable*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Aged%2C+80+and+over%22">Aged, 80 and over</searchLink> ; <searchLink fieldCode="MH" term="%22Treatment+Outcome%22">Treatment Outcome</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Age+Factors%22">Age Factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: As the global population ages and the use of cardiac implantable electronic devices (CIEDs) increases, transvenous lead extraction (TLE) is being performed more frequently in elderly patients. Concerns remain regarding its safety and efficacy in octogenarians, and age‑specific recommendations are limited.<br />Objectives: We aimed to assess procedural success, complication rates, and mortality associated with TLE in patients aged 80 years or older in comparison with younger individuals.<br />Patients and Methods: A systematic search of PubMed, Cochrane CENTRAL, SciELO, and ScienceDirect was conducted up to December 2024. Studies reporting TLE outcomes in octogenarians and younger patients were included according to predefined criteria. A meta‑analysis was performed to compare procedural success, complications, and mortality between the age groups.<br />Results: Seventeen studies including 15 984 patients were analyzed. Complete lead extraction success was 96.7% in octogenarians and 96.2% in the patients aged below 80 years. No significant differences were observed in major or minor procedural complications. In‑hospital mortality was low and comparable between the groups. Although long‑term mortality was higher in the octogenarians, this reflected greater baseline comorbidity and frailty rather than increased procedural risk. None of the included studies demonstrated higher periprocedural danger of TLE in elderly patients.<br />Conclusions: TLE is safe and effective in patients aged 80 years and older, with outcomes comparable to younger individuals. Advanced age alone should not preclude referral for lead extraction.
– Name: Ref
  Label: References
  Group: RefInfo
  Data: Kitzman DW, Whellan DJ, Duncan P, et al. Physical rehabilitation for older patients hospitalized for heart failure. N Engl J Med. 2021; 385: 203-216. (PMID: <searchLink fieldCode="PM" term="%2210%2E1056%2Fnejmoa2026141%22">10.1056/nejmoa2026141)</searchLink><br />Wang Y, Xiao Y, Tang J, et al. Effects of early phase 1 cardiac rehabilitation on cardiac function evaluated by impedance cardiography in patients with coronary heart disease and acute heart failure. Front Cardiovasc Med. 2022; 9: 1-10. (PMID: <searchLink fieldCode="PM" term="%2210%2E3389%2Ffcvm%2E2022%2E958895%22">10.3389/fcvm.2022.958895)</searchLink><br />Pecha S, Chung DU, Burger H, et al. Laser lead extraction in octo- and nonagenarians: a subgroup analysis from the GALLERY registry. J Cardiovasc Electrophysiol. 2023; 34: 1951-1960. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fjce%2E16018%22">10.1111/jce.16018)</searchLink><br />Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021; 42: 3427-3520. (PMID: <searchLink fieldCode="PM" term="%2210%2E1093%2Feurheartj%2Fehab699%22">10.1093/eurheartj/ehab699)</searchLink><br />Al-Maisary S, Romano G, Karck M, et al. Octogenarian patients and laser-assisted lead extraction: should we put a limit? PLoS One. 2023; 18: 1-8. (PMID: <searchLink fieldCode="PM" term="%2210%2E1371%2Fjournal%2Epone%2E0284802%22">10.1371/journal.pone.0284802)</searchLink><br />Williams SE, Arujuna A, Whitaker J, et al. Percutaneous extraction of cardiac implantable electronic devices in octogenarians. Pacing Clin Electrophysiol. 2012; 35: 841-849. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fj%2E1540-8159%2E2012%2E03400%2Ex%22">10.1111/j.1540-8159.2012.03400.x)</searchLink><br />El-Chami MF, Sayegh MN, Patel A, et al. Procedural outcomes and long-term survival following lead extraction in octogenarians. Pacing Clin Electrophysiol. 2017; 40: 868-872. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fpace%2E13113%22">10.1111/pace.13113)</searchLink><br />Smith MC, Love CJ. Extraction of transvenous pacing and ICD leads. Pacing Clin Electrophysiol. 2008; 31: 736-752. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fj%2E1540-8159%2E2008%2E01079%2Ex%22">10.1111/j.1540-8159.2008.01079.x)</searchLink><br />Varahan SL, Pretorius V, Birgersdotter-Green U. Transvenous lead extraction: a step-by-step approach. Interv Cardiol Rev. 2011; 6: 106-112. (PMID: <searchLink fieldCode="PM" term="%2210%2E1007%2F978-88-470-1466-4%26#95%3B3%22">10.1007/978-88-470-1466-4_3)</searchLink><br />Przybylski A, Jagielski D, Hrymniak B, et al. Employment of the Evolution RL sheath as a first-choice device shortens transvenous lead extraction time without affecting procedural safety and efficacy compared to its auxiliary use: insights from the prospective multicenter EVO registry. Adv Clin Exp Med. 2023; 32: 1249-1256. (PMID: <searchLink fieldCode="PM" term="%2210%2E17219%2Facem%2F161961%22">10.17219/acem/161961)</searchLink><br />Kusumoto FM, Schoenfeld MH, Wilkoff BL, et al. 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction. Heart Rhythm. 2017; 14: e503-e551. (PMID: <searchLink fieldCode="PM" term="%2210%2E1016%2Fj%2Ehrthm%2E2017%2E09%2E001%22">10.1016/j.hrthm.2017.09.001)</searchLink><br />Boarescu P-M, Roşian A-N, Roşian ŞH. Transvenous lead extraction procedure: indications, methods, and complications. Biomedicines. 2022; 10: 2780-2790. (PMID: <searchLink fieldCode="PM" term="%2210%2E3390%2Fbiomedicines10112780%22">10.3390/biomedicines10112780)</searchLink><br />Polewczyk A, Jacheć W, Polewczyk M, et al. Outcomes of patients with definite and possible infective endocarditis related to a cardiac implantable electronic device. Pol Arch Intern Med. 2024; 134: 16775. (PMID: <searchLink fieldCode="PM" term="%2210%2E20452%2Fpamw%2E16775%22">10.20452/pamw.16775)</searchLink><br />Pelargonio G, Narducci ML, Russo E, et al. Safety and effectiveness of transvenous lead extraction in octogenarians. J Cardiovasc Electrophysiol. 2012; 23: 1103-1108. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fj%2E1540-8167%2E2012%2E02372%2Ex%22">10.1111/j.1540-8167.2012.02372.x)</searchLink><br />Burger H, Hakmi S, Petersen J, et al. Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths. Pacing Clin Electrophysiol. 2021; 44: 601-606. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fpace%2E14195%22">10.1111/pace.14195)</searchLink><br />Akhtar Z, Elbatran AI, Starck CT, et al. Transvenous lead extraction: the influence of age on patient outcomes in the PROMET study cohort. Pacing Clin Electrophysiol. 2021; 44: 1540-1548. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fpace%2E14310%22">10.1111/pace.14310)</searchLink><br />Zucchelli G, Di Cori A, Segreti L, et al. Major cardiac and vascular complications after transvenous lead extraction: acute outcome and predictive factors from the ESC-EHRA ELECTRa registry. Europace. 2019; 21: 771-780. (PMID: <searchLink fieldCode="PM" term="%2210%2E1093%2Feuropace%2Feuy300%22">10.1093/europace/euy300)</searchLink><br />Bongiorni MG, Kennergren C, Butter C, et al. The European Lead Extraction Controlled (ELECTRa) study: a European Heart Rhythm Association registry of transvenous lead extraction outcomes. Eur Heart J. 2017; 38: 2995-3005. (PMID: <searchLink fieldCode="PM" term="%2210%2E1093%2Feurheartj%2Fehx080%22">10.1093/eurheartj/ehx080)</searchLink><br />Jacheć W, Polewczyk A, Segreti L, et al. Risk factors and long-term survival of octogenarians and nonagenarians undergoing transvenous lead extraction procedures. Gerontology. 2021; 67: 36-48. (PMID: <searchLink fieldCode="PM" term="%2210%2E1159%2F000511358%22">10.1159/000511358)</searchLink><br />Giannotti Santoro M, Segreti L, Zucchelli G, et al. Transvenous lead extraction: efficacy and safety of the procedure in octogenarian patients. Pacing Clin Electrophysiol. 2020; 43: 382-387. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fpace%2E13896%22">10.1111/pace.13896)</searchLink><br />Migliore F, Pittorru R, Dall’Aglio PB, et al. Outcomes of transvenous lead extraction in octogenarians using bidirectional rotational mechanical sheaths. Pacing Clin Electrophysiol. 2023; 46: 960-968. (PMID: <searchLink fieldCode="PM" term="%2210%2E1111%2Fpace%2E14696%22">10.1111/pace.14696)</searchLink><br />Kempa M, Budrejko S, Piepiorka M, et al. Safety and effectiveness of transvenous extraction of pacemaker and implantable cardioverter-defibrillator leads in patients under or over 80 years of age. Kardiol Pol. 2013; 71: 130-135. (PMID: <searchLink fieldCode="PM" term="%2210%2E5603%2Fkp%2E2013%2E0005%22">10.5603/kp.2013.0005)</searchLink><br />Rodriguez Y, Garisto JD, Carrillo RG. Laser lead extraction in the octogenarian patient. Circ Arrhythm Electrophysiol. 2011; 4: 719-723. (PMID: <searchLink fieldCode="PM" term="%2210%2E1161%2Fcircep%2E111%2E964270%22">10.1161/circep.111.964270)</searchLink><br />Yagishita A, Goya M, Sekigawa M, et al. Transvenous excimer laser-assisted lead extraction of cardiac implantable electrical devices in the Japanese elderly population. J Cardiol. 2020; 75: 410-414. (PMID: <searchLink fieldCode="PM" term="%2210%2E1016%2Fj%2Ejjcc%2E2019%2E09%2E005%22">10.1016/j.jjcc.2019.09.005)</searchLink><br />Sidhu BS, Gould J, Sieniewicz B, et al. The role of transvenous lead extraction in the management of redundant or malfunctioning pacemaker and defibrillator leads post ELECTRa. Europace. 2018; 20: 1733-1740. (PMID: <searchLink fieldCode="PM" term="%2210%2E1093%2Feuropace%2Feuy018%22">10.1093/europace/euy018)</searchLink><br />Koneru JN, Ellenbogen KA. ELECTRa-from myth to aletheia: risk factors for transvenous lead extraction in the ancillary analysis of the European Lead Extraction Controlled study. Europace. 2019; 21: 688-689. (PMID: <searchLink fieldCode="PM" term="%2210%2E1093%2Feuropace%2Feuy324%22">10.1093/europace/euy324)</searchLink><br />Ząbek A, Boczar K, Dębski M, et al. 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  Data: <i>Date Created: </i>20260311 <i>Date Completed: </i>20260710 <i>Latest Revision: </i>20261011
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        Value: 10.20452/pamw.17246
    Languages:
      – Code: eng
        Text: English
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Aged, 80 and over
        Type: general
      – SubjectFull: Treatment Outcome
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Age Factors
        Type: general
      – SubjectFull: Device Lead Extraction methods
        Type: general
      – SubjectFull: Pacemaker, Artificial
        Type: general
      – SubjectFull: Defibrillators, Implantable
        Type: general
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      – TitleFull: Systematic review and meta-analysis of the safety and efficacy of transvenous lead extraction in octogenarian patients.
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              Text: 2026 Apr 29
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