PO-02-051 PREDICTORS OF COMPLEXITY WITH TRANSVENOUS LEAD EXTRACTION
نویسندگان
چکیده
Transvenous lead extraction (TLE) often necessitates the use of complex tools (mechanical or laser sheaths) with cardiothoracic surgery on standby. Understanding factors associated need for may obviate surgical backup and/or hybrid room in select patients. We sought to assess major intraoperative complication (complexity) at time TLE. Single-center retrospective review electronic health records among patients undergoing TLE between January 2010 and March 2022. There were 930 (patient age 62.9 ± 15.8 years, 68% men, 63% ICDs, 2.3 0.8 leads, median oldest 4.9 IQR 1.9-8.1 combined 9.5 3.6-16.8 years). The predominant indication was non-infectious (n=659, 71%). Complex required 557 (60%), including (n=456, 49%), mechanical (n=185, 20%), femoral snare (n=41, 4%). Extraction successful 916 (98%). Major complications occurred 11 (1.2%), emergent cardiac 10 (1.1%) 1 death (0.1%) a patient who not rescue candidate. All had used during (100%). Univariate included: increasing (p<.0001), HTN (p=0.002), CAD PCI (p=0.09), history AF (p=0.01), VT/VF infection as (p=0.17), ICD # leads (p=0.0005), presence abandoned (p<.0001). Multivariate (p=0.0027), Among <2 years since implant (n=238, 45% ICDs), 8 (3%) (75% ICDs) there no complications. frequency low (1.2%) all whom Factors complexity included an ICD, number/age leads. In absence additional risk factors, old are unlikely require have complication. This subset can be considered EP lab instead OR immediate backup.
منابع مشابه
Long-term mortality after transvenous lead extraction.
BACKGROUND The number of cardiovascular implantable electronic devices has increased progressively and has led to an increased need for transvenous lead extraction (TLE). Multiple reports of TLE procedural outcomes exist; however, data regarding postprocedural and long-term mortality are limited. METHODS AND RESULTS We performed a retrospective study of consecutive patients undergoing TLE at ...
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BACKGROUND There is a considerable controversy regarding safety of transvenous lead extraction (TLE) in elderly patients due to their potentially worse general condition, more concomitant diseases, more difficult sedation or analgesia. Moreover, the present experience is not relevant. The aim of the study was the comparison of safety and feasibility of TLE in elderly and middle-aged patients. ...
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ژورنال
عنوان ژورنال: Heart Rhythm
سال: 2023
ISSN: ['1556-3871', '1547-5271']
DOI: https://doi.org/10.1016/j.hrthm.2023.03.844