The impact of transvenous lead extraction complications on the 12-month prognosis: insights from the SILCARD registry

Background Scant data exist on long-term outcomes including death in patients with transvenous lead extractions (TLE) related complications. Aims We sought to characterize the population and examine the outcomes including risk factors for in-hospital complications and 12-month mortality and morbidity related to the complications in a large administrative database of patients undergoing TLE. Results From the database of patients hospitalized for cardiovascular diseases and included in the Silesian Cardiovascular Database (SILCARD) registry, we selected the admissions of those who underwent TLE according to the appropriate ICD-9 codes. The patients were divided into two groups based on whether they did or did not manifest any complications during their hospitalization for the TLE procedure. Between 2007 and 2019, we found a total of 835 patients who underwent TLE. TLE-related complications occurred in 56 patients (6.7%) of Complications-Yes, while no complications were recorded in 779 (93.3%) patients of Complications-No group. A significant difference in the rate of all-cause mortality (23.9% vs 6.5%; P Conclusions The presence of TLE-related in-hospital complications increased 12-month mortality.