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Comparison of acute and long‐term outcomes of Evolution ® and TightRail™ mechanical dilator sheaths during transvenous lead extraction
- Source :
- Journal of Cardiovascular Electrophysiology. 32:1395-1404
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- BACKGROUND Powered transvenous lead extraction (TLE) tools are commonly required to remove the leads with long implant duration due to fibrotic adhesions. However, comparative data are lacking among different types of TLE tools. AIM To compare the efficacy and safety of two different rotational mechanical dilator sheaths in retrospectively analyzed patients who underwent TLE. METHODS AND RESULTS A total of 566 lead extractions from 302 patients using TightRail™ (333 lead extractions from 169 patients) and Evolution® (233 lead extractions from 133 patients) mechanical dilator sheaths were performed between July 2009 and June 2018. Acute and long-term outcomes of study groups were compared. There is no statistically significant difference between Evolution® and TightRail™ groups in procedural success (93.9% vs. 94%), clinical success (99.2% vs. 98%), and major complications (3.8% vs. 1.2%), respectively (p > .05). In multivariate regression analysis, lead dwell time, the number of extracted leads, and baseline leukocyte count were found as independent predictors of procedural success (p .05). Chronic renal disease, heart failure, and coagulopathy were shown as independent predictors of all-cause mortality in multivariate regression analysis (p
- Subjects :
- medicine.medical_specialty
business.industry
Chronic renal disease
030204 cardiovascular system & hematology
medicine.disease
Surgery
Transvenous lead
03 medical and health sciences
0302 clinical medicine
Physiology (medical)
Heart failure
Dilator
Long term outcomes
Coagulopathy
Medicine
030212 general & internal medicine
Implant
Cardiology and Cardiovascular Medicine
business
Lead (electronics)
Subjects
Details
- ISSN :
- 15408167 and 10453873
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Electrophysiology
- Accession number :
- edsair.doi...........bbd59dadd98046a0e96f88860cd59453