Evidence map›Paper›PMID 41517909›Full record

ArticleJournal of cardiovascular electrophysiology2026

Symptomatic Deep Venous Thrombosis of the Upper Extremity Following Transvenous Lead Extraction, Data From EXTRACT Registry.

Michal Joniec, Joanna Stachanczyk, Syliwia Gladysz-Wanha, Eugeniusz Pilat, Anna Drzewiecka, Jolanta Biernat, Andrzej Weglarzy, Wojciech Wanha, Rafal Gardas, Krzysztof S Golba

Abstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michal JoniecDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0003-0562-9695
Joanna StachanczykDepartment of Cardiac Rehabilitation, Murcki Hospital, Katowice, Poland.ORCID 0009-0006-8913-8381
Syliwia Gladysz-WanhaDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0002-8770-8321
Eugeniusz PilatDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0002-2621-0407
Anna DrzewieckaDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0003-3469-607X
Jolanta BiernatDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0002-4396-9001
Andrzej WeglarzyDepartment of Cardiac Anaesthesia and Intensive Care, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0009-0000-0089-6511
Wojciech WanhaDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia in Katowice, Katowice, Poland.ORCID 0000-0003-1220-9496
Rafal GardasDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0003-0002-1955
Krzysztof S GolbaDepartment of Electrocardiology, Upper-Silesian Medical Centre in Katowice, Katowice, Poland.ORCID 0000-0001-5722-7976

Funding

Medical University of Silesia in Katowice, Poland NW-2-073/N/3/K
6 · The paper itself

Abstract

backgroundVenous thrombosis occurring after TLE procedures is a fairly common but poorly described complication and requires further investigation into its causes.

aimThe aim of this study was to identify independent predictors of UEDVT occurrence after TLE procedures.

methodsWe analyzed data from 504 transvenous lead extraction procedures performed in the hybrid surgery room of the Department of Electrocardiology and Heart Failure at the Medical University of Silesia, Katowice, Poland, between January 2016 and May 2022. All procedures were performed using mechanical-only techniques.

resultsIn the analyzed period, as a result of 504 transvenous extraction procedures of cardiac implantable electronic device leads, 19 (3.8%) cases of symptomatic venous thrombosis of the upper extremity on the side of the procedure occurred. The mean age of patients who developed the complication was 65.8 ± 13.3 years, and 68.4% were men, which did not differ significantly from the general group. Based on variables selected in the univariate analysis, a logistic regression model of risk factors for UEDVT was calculated. These include a history of cancer disease in patients (p = 0.0110), heart failure according to the Class IV NYHA scale (p = 0.0397), advanced longest dwell time (p = 0.0323), extraction of atrial lead (p = 0.0368), and the use of mechanical non-powered telescopic sheaths (p = 0.0455). As protective factors were assessed, infectious indications for TLE (p = 0.0288) and the highest platelet concentration (p = 0.0448).

conclusionsThrombosis is a relatively rare but serious complication. The precise selection of patients at risk of thrombosis after TLE may increase clinical success. It has been shown that an increased risk of thrombosis after TLE occurs in patients with a history of cancer, with heart failure in NYHA Class IV, and platelet concentration is low, in whom TLE is performed for noninfectious reasons, with the use of additional equipment like mechanical non-powered telescopic sheaths.

Indexed as

Defibrillators, ImplantableDevice Lead ExtractionDevice RemovalPacemaker, ArtificialUpper Extremity Deep Vein ThrombosisAgedAged, 80 and overFemaleHumansMaleMiddle AgedPolandRegistriesRetrospective StudiesRisk AssessmentRisk Factorscardiac implantable electronic deviceinfectiontransvenous lead extractionupper extremity deep venous thrombosis

Identifiers

PMID41517909
PMCPMC12980471

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.