Comparison of electrocautery platforms for pulse generator replacement procedures

Low-temperature electrocautery for high-risk cardiac implantable electronic device procedures

“…In the sub-analysis of the WRAP-IT trial, its use was associated with a significant, 32% reduction in the incidence of any lead-related adverse events than the conventional electrocautery group [ 4 ]. In the other available literature sources evaluating low-temperature electrocautery, the risk of lead-related complications, ranged between 0.0% and 0.7%, which along with the present data, confirms that its utilization in generator replacement procedures yields high safety for leads [ 4 , 5 , 7 ].…”

“…A recent study focused on the risk of bleeding in patients on anticoagulants after transcatheter aortic valve implantation demonstrated that the risk of pocket hematoma with low-temperature electrocautery was 1.2% [ 10 ]. As none of the patients from the studied group developed a clinically significant pocket hematoma, and the rates of hematomas from the prior studies with low-temperature electrocautery did not exceed 3.4%, it could be concluded that low-temperature electrocautery allows maintaining low risk of pocket hematoma and lead-related complications [ 4 , 7 ].…”