Division of Cardiovascular Medicine, Department of Medicine, Cardiac Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Department of Medicine, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Card Electrophysiol Clin. 2024 Dec;16(4):393-402. doi: 10.1016/j.ccep.2024.07.001. Epub 2024 Sep 20.
Transvenous lead extraction (TLE) has evolved significantly since the introduction of cardiac pacing systems in the 1950s. The need for TLE has grown due to the increasing complexity of cardiac devices and patients, alongside rising infection rates and regulatory recalls. Despite its challenges, improved institutional support and advanced training programs have made TLE more accessible. Modern TLE indications are well-defined, evolving through scientific statements to include comprehensive lead management best practices and safety protocols. However, underutilization persists, particularly in infection management, highlighting the need for continued education and adherence to guidelines.
经静脉心脏导线拔除术（TLE）自 20 世纪 50 年代心脏起搏系统问世以来已有显著发展。由于心脏设备和患者日趋复杂、感染率上升以及监管召回事件增加，TLE 的需求不断增长。尽管存在挑战，但机构支持的改善和先进的培训计划使 TLE 更加普及。现代 TLE 适应证已明确界定，通过科学声明不断发展，纳入全面的导线管理最佳实践和安全协议。然而，TLE 的应用仍然不足，尤其是在感染管理方面，这凸显出持续教育和遵循指南的必要性。
