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Transvenous lead extraction: Barriers to care

The need for transvenous lead extraction (TVL) is increasing. Unfortunately, many patients with indications for extraction go without appropriate care. There are multiple barriers to patients receiving TVL. These include a knowledge deficit, a lack of adequate training, a lack of appropriate tools, and a lack of resources. In this paper, we will review these barriers and offer some potential solutions. Hopefully, in the near future, all patients that require TVL will be appropriately referred and the resources and training will allow safe and effective treatment.