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Current practice in Transvenous Lead Extraction in Latin-American: Latin-American Heart Rhythm Association Survey
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  • Juan Carlos Diaz,
  • Jorge Romero,
  • Roberto Costa,
  • Alejandro Cuesta,
  • Luigi DiBiase,
  • Isabella Alviz,
  • Alejandro Velasco,
  • Mohamed Gabr,
  • Mauricio Duque,
  • Jorge Marin,
  • Julian Aristizabal,
  • Jorge Velásquez,
  • Cesar Niño,
  • Hector Mazzetti
Juan Carlos Diaz
Clinica Las Americas
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Jorge Romero
Montefiore Medical Center
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Roberto Costa
Universidade de São Paulo Instituto do Coração
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Alejandro Cuesta
Centro Cardiovascular Universitario
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Luigi DiBiase
Montefiore Hospital and Medical Center
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Isabella Alviz
Montefiore Medical Center
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Alejandro Velasco
Montefiore Hospital and Medical Center
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Mohamed Gabr
Montefiore Hospital and Medical Center
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Mauricio Duque
Universidad CES
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Jorge Marin
Clinica Las Americas
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Julian Aristizabal
Clinica Las Vegas
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Jorge Velásquez
Clinica Somer
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Cesar Niño
Clinica Somer
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Hector Mazzetti
Sanatorio de la Trinidad de San Isidro
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Abstract

Background: Transvenous lead extraction (TLE) is standard of care for the management of patients with cardiac implantable electronic device infection or lead related complications. Currently, objective data on TLE in Latin America is lacking. Objective: To describe the current practice standards in Latin American centers performing TLE. Methods: An online survey was sent through the mailing list of the Latin American Heart Rhythm Association (LAHRS). Online reminders were sent through the mailing list; duplicate answers were discarded. The survey was available for one month, after which no more answers were accepted. Results: A total of 48 answers were received, from 44 different institutions (39.6% from Colombia, 27,1% from Brazil), with most respondents (83%) being electrophysiologists. Twenty-nine institutions (66%) performed less than 10 lead extractions/year, with 7 (15%) institutions not performing lead extraction. Although most institutions in which lead extraction is performed reported using several tools, mechanical rotating sheaths were cited as the main tool (73%), 13.5% reported the use of mechanical extraction sheaths and only 13.5% reporting the use of laser sheaths. Management of infected leads was performed according to current guidelines. Conclusion: This survey is the first attempt to provide information on TLE procedures in Latin America and could provide useful information for future prospective registries. According to our results, the number of centers performing high volume lead extraction in Latin America is smaller than that reported in other continents, with most interventions performed using mechanical tools. Future prospective registries assessing acute and long-term success are needed.

Peer review status:IN REVISION

06 May 2021Submitted to Journal of Cardiovascular Electrophysiology
07 May 2021Submission Checks Completed
07 May 2021Assigned to Editor
10 May 2021Reviewer(s) Assigned
17 May 2021Review(s) Completed, Editorial Evaluation Pending
18 May 2021Editorial Decision: Revise Minor
28 May 20211st Revision Received
03 Jun 2021Submission Checks Completed
03 Jun 2021Assigned to Editor
03 Jun 2021Reviewer(s) Assigned
11 Jun 2021Review(s) Completed, Editorial Evaluation Pending
11 Jun 2021Editorial Decision: Revise Minor