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Predictors of lead break during transvenous lead extraction
- Source :
- Journal of Arrhythmia, Journal of Arrhythmia, Vol 37, Iss 3, Pp 645-652 (2021)
- Publication Year :
- 2021
- Publisher :
- John Wiley and Sons Inc., 2021.
-
Abstract
- Background The incidence, predictors, and clinical impact of lead break during transvenous lead extraction (TLE) were previously unknown. Methods We included consecutive patients who underwent TLE between September 2013 and July 2019 at our institute. Lead break during removal was defined as lead stretching and becoming misshapen, as assessed by fluoroscopy. Results A total of 246 patients underwent TLE for 501 leads. At a patient level, complete success was achieved in 226 patients (91.9%). At a lead level, 481 leads (96.0%) were completely removed and 101 leads (20.1%) were broken during the procedure. Of 392 identified pacemaker leads, 71 (18.3%) were broken during the TLE procedure. A multivariable analysis confirmed high lead age (odds ratio [OR] 1.12, 95% confidence interval (CI) 1.07‐1.17; P<br />The extraction of cardiac implantable electronic device leads due to infections, malfunctions, and recalls is common, and can lead to complications such as lead break resulting in incomplete lead removal and cardiac tamponade. We found that older lead age, co‐radial leads, passive leads, and non‐polyurethane leads were independent predictors of lead break during extraction. These findings will guide clinicians to make appropriate choices of procedure and take greater care when these risk factors are present.
- Subjects :
- medicine.medical_specialty
pacemaker lead
passive lead
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Internal medicine
Cardiac tamponade
medicine
Diseases of the circulatory (Cardiovascular) system
coradial lead
030212 general & internal medicine
Lead (electronics)
business.industry
Incidence (epidemiology)
transvenous lead extraction
lead break
Odds ratio
Original Articles
medicine.disease
Confidence interval
Pacemaker leads
Transvenous lead
RC666-701
Cardiology
Original Article
Cardiology and Cardiovascular Medicine
business
Lead extraction
Subjects
Details
- Language :
- English
- ISSN :
- 18832148 and 18804276
- Volume :
- 37
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Arrhythmia
- Accession number :
- edsair.doi.dedup.....0b0327aef70bf8ea4c929220f046edda