Prior Sternotomy Does Not Effect Lead Extraction Outcomes

This paper looked at the impact of prior sternotomy on outcomes from transvenous lead extraction. The study included data on 455 patients with prior sternotomy undergoing transvenous lead extraction, upon which multivariate and propensity-matched analyses were performed by the researchers. The outcome variables included major and minor complication rates, clinical success, and in-hospital mortality. The results suggested no statistical differences in major and minor complication rates, clinical success rate, and in-hospital mortality. “In a large, single-center series, no differences in clinical or procedural outcomes were elucidated between patients with a history of sternotomy and those without,” the authors wrote in the abstract.

Tsang D, et al. Circ Arrhythm Electrophysiol. 2019;doi: 10.1161/CIRCEP.119.007278