Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands.
Europace. 2010 Feb;12(2):275-6. doi: 10.1093/europace/eup443.
This survey has compared attitudes towards (endocardial) lead extraction, among European electrophysiology centres, with special attention paid to 'redundant leads'. The main findings of this survey are: (i) most of the centres performing lead extractions do so in low volume even though the number of implants may be high. (ii) Approaches to the practice of lead extraction are based largely on clinical experience and individual sentiment but not on a rigorous evidence based. (iii) Traction alone or in combination with extraction tools (but not laser) are commonly used for extraction. (iv) The perception of need for involvement of cardio-thoracic surgeon varies.
本调查比较了欧洲电生理中心对（心内膜）导线拔除的态度，特别关注“冗余导线”。这项调查的主要发现是：（i）尽管植入数量可能很高，但大多数进行导线拔除的中心的手术量都很低。（ii）导线拔除的做法主要基于临床经验和个人意见，而不是基于严格的循证医学。（iii）仅使用牵引或联合使用拔除工具（而非激光）进行拔除。（iv）对需要胸心血管外科医生参与的看法存在差异。
