Management of malfunctioning and recalled pacemaker and defibrillator leads: results of the European Heart Rhythm Association survey

Maria Grazia Bongiorni*, Nikolaos Dagres, Heidi Estner, Laurent Pison, Derick Todd, Carina Blomstrom-Lundqvist

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Web of Science)


The aim of this survey was to describe the different strategies regarding the management of malfunctioning and recalled pacemaker and defibrillator leads across Europe. A questionnaire has been designed to assess the current practice and physician's approach to the management of leads which are faulty, unnecessary, and/or recalled. Responses to the questionnaire were received from 34 hospitals-members of the European Heart Rhythm Association (EHRA) electrophysiology (EP) research network. The survey involved both very high and low volume implanting centres, with 85% of the responding centres performing lead extraction. The survey provides a panoramic view of operator's decision making in the field of malfunctioning, recalled, and redundant leads and outlines a common point of view on lead abandonment and factors influencing the decision about lead extraction. The main factors strongly influencing the decision making were patient's age (59%), the presence of the damaged leads (44%), and the lead dwelling time (44%). Regarding the lead abandonment, the main concern (61%) was the potential greater difficulty associated with lead extraction in the future. High volume extracting centres showed a greater propensity to removing the malfunctioning or recalled leads compared with low volume or non-extracting centres. This EP Wire survey gives a snapshot of the operators' approaches and options regarding redundant, malfunctioning, and recalled lead management and may form the basis for future prospective research on this topic.
Original languageEnglish
Pages (from-to)1674-1678
JournalEP Europace
Issue number11
Publication statusPublished - Nov 2014


  • Cardiac implantable electronic devices
  • Pacemaker
  • Implantable Cardioverter
  • defibrillator
  • Leads
  • Malfunction
  • Recall
  • Extraction
  • Abandonment
  • EHRA survey
  • EP wire

Cite this