Abstract

Lead extraction, a demanding task:
Every year approximately 1 0 000–15 000 pacemakerand
ICD-leads are extracted worldwide with numbers
continuing to rise. The increasing need for lead extractions
may be explained by the evolution of pacemakerand
ICD-implants during the last decade as well as by
the widened spectrum of extraction devices and techniques.
Last but not least, in 2009 the indications for
transvenous lead extractions were broadened by the
Heart Rhythm Society.
Lead extraction are not simple operations at all,
but instead can be very challenging with a recognisable
risk profile. When carried out by specialised centres
lead extractions may be performed with high success
rates (>95%), and low complication rates (<2%) and
mortality (<0.5%).