Lead Extraction and Abandoned Leads – Best Practices and Technology Insights

Presented at Rhythm Interventions Online 2025 US Focus, this session chaired by chaired by Devi Nair (Jonesboro, US), examines best practice in lead extraction with a focus on the risks created by abandoned leads. Anne Kroman (Medical University of South Carolina, Charleston, US) presents a complex case that illustrates how capping leads for short term convenience can increase long term complications such as infection, venous occlusion, extraction failure and tricuspid damage. The faculty discuss mechanisms of lead entrapment, the challenges of removing cut or aged leads and strategies for safer extraction using laser systems, mechanical tools and retained venous access. They highlight the importance of early planning, avoiding partial lead withdrawal, collaborating with implanting teams on lead management and ensuring access to specialist extraction services. The panel also reviews decision making in patients undergoing tricuspid interventions where coordinated planning between electrophysiology, structural teams and surgeons is vital for safe outcomes.

This programme is supported by an unrestricted educational grant from Philips.

In compliance with ACCME guidelines, all speakers/chairpersons participating in this programme have disclosed or indicated potential conflicts of interest which might cause a bias in the presentations.  

The Organising Committee/Course Director is responsible for ensuring that all potential conflicts of interest relevant to the event are declared to the audience prior to the CME activities.  

There is no fee for taking part in this online learning activity. 

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Radcliffe Medical Education requires contributors to our CME programmes to disclose any relevant financial relationships that have occurred within the past 24 months that could create a conflict of interest. These will be identified in the faculty section if applicable.

The activity, Lead Extraction and Abandoned Leads – Best Practices and Technology Insights', has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and Radcliffe Medical Education. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates the live and enduring format for this educational activity for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Live activity date: November 22, 2025 
Enduring activity dates: December 15, 2025 – December 15, 2026

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Accreditation Statement:

0.50 ACCME

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and Radcliffe Medical Education. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates the live and enduring format for this educational activity for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Enduring activity dates: December 15, 2025 – December 15, 2026