Abstract 19603: Incidence and Predictors of Peri-procedure Complications with Transvenous Lead Extractions in the Real World: Data from NCDR ICD Registry

Introduction: Transvenous lead extraction (TLE) is integral to device management. The incidence and predictors of peri-procedural complications in a large cohort undergoing TLE in the “real world” is not yet reported. Methods: Data from NCDR ICD Registry Version 2.0 (both implant and lead-only procedures, 4/10-6/12) was analyzed. “Lead Extraction” was defined as removal of leads implanted for > 1 year. Clinical characteristics were available for 8228 patients. High-voltage (HV) leads were analyzed separately for lead related factors predicting major complications. Major complications were defined as any of: cardiac arrest, cardiac perforation, coronary venous dissection, conduction block, hemothorax, pericardial tamponade, pneumothorax, urgent cardiac surgery and death. Multivariable logistic regression analyses were performed to evaluate for predictors of peri-procedural complications. Results: Among 11,304 patients, 8362 (74%) had HV +/-pacing lead/s, and 2942 (26%) pacing-lead/s only, extracted at 762 ...