Transvenous lead extraction: Efficacy and safety of the procedure in octogenarian patients.

Pacing and Clinical Electrophysiology : PACE
Mario Giannotti SantoroMaria Grazia Bongiorni

Abstract

Managing elderly patients with infection or malfunction deriving from a cardiac implantable electronic device (CIED) may be challenging. The aim of this study was to evaluate safety and efficacy of mechanical transvenous lead extraction (TLE) in elderly patients. Patients who had undergone TLE in single tertiary referral center were divided in two groups (group 1: ≥ 80 years; group 2: < 80 years) and their acute and chronic outcomes were compared. All patients were treated with manual traction or mechanical dilatation. Our analysis included 1316 patients (group 1: 202; group 2: 1114 patients), with a total of 2513 leads extracted. Group 1 presented more comorbidities, more pacemakers than implantable cardioverter-defibrillators, whereas the dwelling time of the oldest lead and the number of leads were similar, irrespective of patient's age. In group 1, the radiological success rate for lead was higher (99.0% vs 95.9%; P < .001) and the fluoroscopy time lower (13.0 vs 15.0 min; P = .04) than in group 2. Clinical success was reached in 1273 patients (96.7%), without significant differences between groups (group 1: 98.0% vs group 2: 96.4%; P = .36). Major complications occurred in 10 patients (0.7%) without significative differenc...Continue Reading

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Citations

Jul 9, 2021·Pacing and Clinical Electrophysiology : PACE·Zaki AkhtarMark M Gallagher
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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