Safety and efficacy of transvenous mechanical lead extraction in patients with abandoned leads.

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Luca SegretiMaria Grazia Bongiorni

Abstract

Optimal management of redundant or malfunctioning leads is controversial. We aimed to assess safety and efficacy of mechanical transvenous lead extraction (TLE) in patients with abandoned leads. Consecutive TLE procedures performed in our centre from January 2009 to December 2017 were considered. We evaluated the safety and efficacy of mechanical TLE in patients with abandoned (Group 1) compared to non-abandoned (Group 2) leads. We analysed 1210 consecutive patients that required transvenous removal of 2343 leads. Group 1 accounted for 250 patients (21%) with a total of 617 abandoned leads (26%). Group 2 comprised 960 patients (79%) with 1726 leads (74%). The total number of leads (3.0 vs. 2.0), dwelling time of the oldest lead (108.00 months vs. 60.00 months) and infectious indications for TLE were higher in Group 1. Clinical success was achieved in 1168 patients (96.5%) with a lower rate in Group 1 (90.4% vs. 98.1%; P < 0.001). Major complications occurred in only 9 patients (0.7%), without significant differences among the two groups. The presence of one or more abandoned leads [odds ratio (OR) 3.47; 95% confidence interval (CI) 1.07-11.19; P = 0.037] and dwelling time of the oldest lead (OR 1.01 for a month; 95% CI 1.01-1.0...Continue Reading

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Jan 10, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Luca SegretiUNKNOWN ELECTRa Investigators
May 3, 2019·Pacing and Clinical Electrophysiology : PACE·Wojciech JachećAndrzej Kutarski
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Citations

Jul 22, 2021·Journal of Cardiovascular Electrophysiology·Juan C DiazHector Mazzetti
Aug 14, 2021·Vascular Health and Risk Management·Paweł StefańczykAndrzej Kutarski
Sep 7, 2021·Pacing and Clinical Electrophysiology : PACE·Gianluigi BencardinoRoberto Scacciavillani

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