scholarly journals Up to 5-Year Follow-up after Transvenous Lead Extraction Procedures

2019 ◽  
Author(s):  
L. Castro ◽  
S. Pecha ◽  
S. Amin ◽  
M. Linder ◽  
N. Gosau ◽  
...  
Keyword(s):  
Lead Extraction ◽  
Extraction Procedures

Transvenous lead extraction in patients with prior extraction procedures: Procedural profiles and outcomes

Heart Rhythm ◽  
2020 ◽  
Vol 17 (11) ◽  
pp. 1904-1908
Author(s):  
Erika Hutt ◽  
Mohamed Diab ◽  
Oussama M. Wazni ◽  
Simrat Kaur ◽  
Khaldoun G. Tarakji ◽  
...  
Keyword(s):  
Lead Extraction ◽  
Extraction Procedures

scholarly journals 136-54: Incidence and outcomes of repeat lead extraction procedures: A 14 year, single-centre experience

EP Europace ◽  
2016 ◽  
Vol 18 (suppl_1) ◽  
pp. i103-i103
Author(s):  
Simon Claridge ◽  
Jonathan Johnson ◽  
Christopher Rajkumar ◽  
Tom Jackson ◽  
Jonathan Behar ◽  
...  
Keyword(s):  
Lead Extraction ◽  
Single Centre ◽  
Extraction Procedures ◽  
Single Centre Experience

scholarly journals Long-term follow-up of abandoned transvenous defibrillator leads: a nationwide cohort study

EP Europace ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. 1097-1102
Author(s):  
Anders Fyhn Elgaard ◽  
Jens Brock Johansen ◽  
Jens Cosedis Nielsen ◽  
Christian Gerdes ◽  
Sam Riahi ◽  
...  
Keyword(s):  
Clinical Success ◽  
Extraction Procedure ◽  
Clinical Success Rate ◽  
High Volume ◽  
Lead Extraction ◽  
Related Data ◽  
Major Complications ◽  
Long Term Follow Up

Abstract Aims  Commonly, a dysfunctional defibrillator lead is abandoned and a new lead is implanted. Long-term follow-up data on abandoned leads are sparse. We aimed to investigate the incidence and reasons for extraction of abandoned defibrillator leads in a nationwide cohort and to describe extraction procedure-related complications. Methods and results  All abandoned transvenous defibrillator leads were identified in the Danish Pacemaker and ICD Register from 1991 to 2019. The event-free survival of abandoned defibrillator leads was studied, and medical records of patients with interventions on abandoned defibrillator leads were audited for procedure-related data. We identified 740 abandoned defibrillator leads. Meantime from implantation to abandonment was 7.2 ± 3.8 years with mean patient age at abandonment of 66.5 ± 13.7 years. During a mean follow-up after abandonment of 4.4 ± 3.1 years, 65 (8.8%) abandoned defibrillator leads were extracted. Most frequent reason for extraction was infection (pocket and systemic) in 41 (63%) patients. Procedural outcome after lead extraction was clinical success in 63 (97%) patients. Minor complications occurred in 3 (5%) patients, and major complications in 1 (2%) patient. No patient died from complication to the procedure during 30-day follow-up after extraction. Conclusion  More than 90% of abandoned defibrillator leads do not need to be extracted during long-term follow-up. The most common indication for extraction is infection. Abandoned defibrillator leads can be extracted with high clinical success rate and low risk of major complications at high-volume centres.

scholarly journals P1769The bridge occlusion balloon as a safety net in high-risk transvenous lead extraction procedures: a novel approach

EP Europace ◽  
2017 ◽  
Vol 19 (suppl_3) ◽  
pp. iii388-iii388
Author(s):  
S. Hakmi ◽  
S. Pecha ◽  
J. Vogler ◽  
N. Gosau ◽  
S. Willems ◽  
...  
Keyword(s):  
High Risk ◽  
Safety Net ◽  
Lead Extraction ◽  
Occlusion Balloon ◽  
Extraction Procedures ◽  
Novel Approach

scholarly journals A Novel Clinical Perspective on New Masses after Lead Extraction (Ghosts) by Means of Intracardiac Echocardiography

2020 ◽  
Vol 9 (8) ◽  
pp. 2571
Author(s):  
Carlo Caiati ◽  
Giovanni Luzzi ◽  
Paolo Pollice ◽  
Stefano Favale ◽  
Mario Erminio Lepera
Keyword(s):  
Event Rate ◽  
Extraction Procedure ◽  
Intracardiac Echocardiography ◽  
Lead Extraction ◽  
Clinical Perspective ◽  
Cardiac Wall ◽  
Ventricular Lead ◽  
Higher Sensitivity

Background: A lead-reactive fibrous capsule (FC) identified by ultrasounds as an atrial or ventricular lead thickness of more than 1 mm above the vendor-declared lead diameter (TL) and its local fibrotic attachment to the cardiac wall (FAC) have never been investigated in vivo, so their relationship with post-extraction masses (ghost) is not known. Methods: Intracardiac echocardiography (ICE) was performed twice during the same extraction procedure in 40 consecutive patients: before and immediately after infected lead extraction Results: The ghost detection rate was high: 60% (24/40 patients); ICE could identify both TL and FAC, TL being noted in 25/40 (62%) patients and FAC in 12/40 patients (30%). Both TL and FAC were significantly associated with ghosts (p < 0.001 and p = 0.002, respectively), but TL had a higher prediction power. The specificity was similar: 94% (15/16) and 100% (16/16), respectively, but TL showed a much higher sensitivity: 100%, (24/24) vs 50% (12/24) (p = 0.016). The ghost group did not show a higher event rate in the follow-up (mean follow-up time = 20 ± 17 months). Conclusion: ICE is able to evaluate both TL and FAC in vivo; ghosts are mostly benign remnants of fibrotic lead capsule cut off during extraction and retained inside the heart by FAC.

scholarly journals Music therapy as an adjunct in cardiac device lead extraction procedures: A randomized controlled trial

2020 ◽  
Vol 56 ◽  
pp. 151376
Author(s):  
Stine Camilla Blichfeldt-Ærø ◽  
Thomas M. Knutsen ◽  
Hege Merethe Hagen ◽  
Lien My Diep ◽  
Gro Trondalen ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Music Therapy ◽  
Controlled Trial ◽  
Lead Extraction ◽  
Cardiac Device ◽  
Extraction Procedures ◽  
Randomized Controlled

Transesophageal Echocardiographic Visualization of Left Ventricular Malpositioned Pacemaker Electrodes: Implications for Lead Extraction Procedures

1999 ◽  
Vol 22 (9) ◽  
pp. 1407-1409 ◽  
Author(s):  
MICHAEL V. ORLOV ◽  
JOHN C. MESSENGER ◽  
SERGE TOBIAS ◽  
CLYDE W. SMITH ◽  
WINFRIED WAIDER ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Lead Extraction ◽  
Extraction Procedures ◽  
Pacemaker Electrodes

scholarly journals Analysis of Risk Factors for Major Complications of 1500 Transvenous Lead Extraction Procedures with Especial Attention to Tricuspid Valve Damage

2021 ◽  
Vol 18 (17) ◽  
pp. 9100
Author(s):  
Łukasz Tułecki ◽  
Anna Polewczyk ◽  
Wojciech Jacheć ◽  
Dorota Nowosielecka ◽  
Konrad Tomków ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tricuspid Valve ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Lead Extraction ◽  
Safe Procedure ◽  
Term Survival ◽  
Technical Problems ◽  
Extraction Procedures ◽  
Major Complications

Background: Transvenous lead extraction (TLE) is a relatively safe procedure, but it may cause severe complications such as cardiac/vascular wall tear (CVWT) and tricuspid valve damage (TVD). Methods: The risk factors for CVWT and TVD were examined based on an analysis of data of 1500 extraction procedures performed in two high-volume centers. Results: The total number of major complications was 33 (2.2%) and included 22 (1.5%) CVWT and 12 (0.8%) TVD (with one case of combined complication). Patients with hemorrhagic complications were younger, more often women, less often presenting low left ventricular ejection fraction (LVEF) and those who received their first cardiac implantable electronic device (CIED) earlier than the control group. A typical patient with CVWT was a pacemaker carrier, having more leads (including abandoned leads and excessive loops) with long implant duration and a history of multiple CIED-related procedures. The risk factors for TVD were similar to those for CVWT, but the patients were older and received their CIED about nine years earlier. Any form of tissue scar and technical problems were much more common in the two groups of patients with major complications. Conclusions: The risk factors for CVWT and TVD are similar, and the most important ones are related to long lead dwell time and its consequences for the heart (various forms of fibrotic scarring). The occurrence of procedural complications does not affect long-term survival in patients undergoing lead extraction.

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