Predictors of short-term mortality in patients undergoing a successful uncomplicated extraction procedure.

Journal of Cardiovascular Electrophysiology
Anat MilmanEyal Nof

Abstract

The prognosis of patients with untreated cardiac implantable electronic device (CIED) infection is poor. Whether removal of all leads by a successful transvenous lead extraction (TLE) procedure changes the prognosis is unclear. To identify predictors of mortality in patients with CIED infection despite successful TLE. Retrospective single-center analysis of prospectively collected database from consecutive patients undergoing TLE at our center. Predictors for mortality were identified and a score predicting high mortality rate was calculated. A total of 371 consecutive patients underwent TLE, of whom 337 (90.8%) had complete hardware removal. Most were extracted due to infectious causes (81.3%). Approximately one-third (35%) died during a mean follow-up of 1056 ± 868 days. There was significantly higher mortality observed in the infectious group. Multivariate logistic regression models for infectious group only identified creatinine and albumin measurements as risk markers for 30 days mortality (odds ratio [OR], 1.68; 95% confidence interval [CI], 1.19-2.38; P = .003 and OR, 0.4; 95% CI, 0.16-0.97; P = .039, respectively). A risk score was created based on cutoff values of creatinine ≥2md/dL (1 point) and albumin ≤3.5 g/dL (1 p...Continue Reading

References

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Nov 13, 2018·Arrhythmia & Electrophysiology Review·Adryan A PerezRoger G Carrillo

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Citations

Mar 7, 2020·Journal of Cardiovascular Electrophysiology·Thomas D Callahan, David O Martin
Mar 17, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Elod-Janos ZsigmondMate Vamos

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