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ogical risk factor in low-risk kidney transplant recipients (PRA less then 20% and absence of DSA). Transvenous lead extraction can have serious adverse events such as cardiac or vascular perforation. Risk factors have not been well characterized. To identify factors associated with perforation and death, and characterize lead extraction in a large contemporary population. We performed a retrospective multi-center study examining patients undergoing lead extraction at 8 Canadian institutions from 1996 through 2016. Demographic and clini
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