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The effectiveness of transvenous leads extractions implanted more than 10 years before.
- Source :
-
Cardiology journal [Cardiol J] 2014; Vol. 21 (4), pp. 419-24. Date of Electronic Publication: 2013 Oct 21. - Publication Year :
- 2014
-
Abstract
- Background: The increasing number of patients with cardiac implantable electronic devices (CIEDs) causes a rise in the absolute percentage of individuals qualifying for a transvenous lead extraction (TLE) due to infectious, vascular or lead failure related indications. As the survival time prolongs, TLE procedures more and more often concern the electrodes of long- -term functioning. Authors provide a retrospective analysis of the effectiveness and safety of TLE performed on leads implanted at least 10 years before the extraction.<br />Methods: Between 2008 and 2012 we performed TLE of 364 electrodes in 217 patients. Out of these, 66 (18.1%) leads in 43 (19.8%) patients had been implanted for at least 10 years. The mean dwelling time for electrodes was 161 months (120 to 330). In 62% of cases CIED-related infection was an indication for TLE. The following extracting techniques were used: manual direct traction, device traction, mechanical telescopic sheaths, autorotational cutting sheaths and femoral approach.<br />Results: Fifty-eight pacemakers and 8 defibrillating leads were extracted. Sixty-three (95%) completely, in the remaining 3 cases the clinical success was achieved with the small portion of the lead left into the vascular space. No major procedure complications were observed; minor complications were found in 3 (6%) patients.<br />Conclusions: TLE with the use of various endovascular techniques is an effective and safe method for treating infectious, vascular and mechanical complications of long-lasting CIEDs therapy.
- Subjects :
- Adult
Aged
Aged, 80 and over
Arrhythmias, Cardiac diagnosis
Arrhythmias, Cardiac physiopathology
Device Removal adverse effects
Endovascular Procedures adverse effects
Equipment Design
Female
Humans
Male
Middle Aged
Radiography, Interventional
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Young Adult
Arrhythmias, Cardiac therapy
Defibrillators, Implantable
Device Removal methods
Endovascular Procedures methods
Equipment Contamination
Equipment Failure
Pacemaker, Artificial
Subjects
Details
- Language :
- English
- ISSN :
- 1898-018X
- Volume :
- 21
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Cardiology journal
- Publication Type :
- Academic Journal
- Accession number :
- 24142680
- Full Text :
- https://doi.org/10.5603/CJ.a2013.0143