Transvenous Lead Extraction: Heart Rhythm Society Expert Consensus on Facilities, Training, Indications, and Patient Management
May 25, 2009—An international team of device and lead management experts from North America and Europe wrote this 2009 consensus document on the management of leads in patients with cardiovascular implantable electronic devices (CIEDs). Central to this effort was a focus on transvenous lead extraction, including standards for training and for the evaluation of new tools and techniques. The document is also an update/revision of the 2000 policy statement on the extraction of implanted pacing and defibrillator leads.
This document focuses on patient and lead management, and not just lead extraction, in order to place the indications for intervention in the context of the contraindications, timing, training, facilities, and personnel.