Long-Term Outcomes Following Transvenous Lead Extraction

Pacing and Clinical Electrophysiology : PACE
Sean GomesRobert Giles

Abstract

Complications related to a cardiac implantable electronic device sometimes require transvenous lead extraction (TLE). We report long-term follow-up of patients undergoing TLE, particularly mortality, recurrent device infection, and need for repeat procedures. Consecutive patients undergoing TLE at a high-volume center were assessed for characteristics, indications, and outcomes. One thousand and six leads were extracted from 510 patients. Clinical success rate was 98.2% and complete procedural success was 92.2%, with one intraprocedural death. The mean follow-up was 5.5 +/- 4.9 years (range 0.2-18 years). Cumulative mortality was 3.3% at 30 days, 7.7% at 6 months, 10.0% at 1 year, and 33.0% at 10 years. Factors associated with increased long-term mortality included cardiac device infection (CDI; 33% vs 17% for non-CDI; χ² 13.8, P = 0.0003), procedural complications (43% vs 27% for no complications; χ² 4.2, P = 0.04), age (75.0 +/- 10.9 years in patients who died vs 62.7 +/- 17.2 years; P < 0.0001), and impaired renal function (creatinine 142.5 +/- 106.4 μmol/L in patients who died vs 106.3 +/- 90.7 μmol/L; P = 0.001). The rate of CDI after TLE was 3.9% (mean 11.6 months post extraction, range 0.3-84 months) and is higher in pat...Continue Reading

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Citations

Jan 8, 2017·Journal of Cardiovascular Electrophysiology·Luca BontempiAntonio Curnis
Feb 9, 2017·Journal of Cardiovascular Electrophysiology·Deepak Padmanabhan, Samuel J Asirvatham
Jun 2, 2017·Pacing and Clinical Electrophysiology : PACE·Ewa OszczygiełIwona Cygankiewicz
Apr 27, 2019·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Akash RusiaRahul N Doshi
Dec 22, 2019·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·C SteinwenderM Stühlinger
Mar 7, 2020·Journal of Cardiovascular Electrophysiology·Anat MilmanEyal Nof
Jul 3, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Christos ZormpasDavid Duncker
Aug 29, 2017·Pacing and Clinical Electrophysiology : PACE·Wojciech JachećAndrzej Kutarski
Apr 5, 2017·Archivos de cardiología de México·Daniel Veron-EsquivelFernando Batiz-Armenta
Feb 23, 2019·Journal of Investigative Medicine High Impact Case Reports·Assad MohammedzeinScott Milton
Mar 7, 2021·International Journal of Environmental Research and Public Health·Dorota NowosieleckaAndrzej Kutarski
Mar 17, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Elod-Janos ZsigmondMate Vamos

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