keyword
MENU ▼
Read by QxMD icon Read
search

transvenous lead extraction

keyword
https://www.readbyqxmd.com/read/28597736/venous-stenosis-and-occlusion-in-the-presence-of-endocardial-leads-in-patients-referred-for-transvenous-lead-extraction
#1
Krzysztof Boczar, Andrzej Zabek, Kazimierz Haberka, Maciej Debski, Anna Rydlewska, Robert Musial, Jacek Lelakowski, Barbara Malecka
Objective The aim of this study was to evaluate the incidence of venous stenosis and occlusion (VSO) in patients referred for transvenous lead extraction (TLE) with regard to the indications for this treatment and to analyse the influence of VSO on efficacy, complications and technical challenges of TLE procedures. Methods The material consists of 133 consecutive TLE procedure records. The contrast venography examination of the ipsilateral access vein was performed prior to the operation. The whole study population was divided into two subgroups, based on the presence (subgroup I) or absence (subgroup II) of VSO...
February 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/28582500/comparison-of-epicardial-vs-endocardial-reimplantation-in-pacemaker-dependent-patients-with-device-infection
#2
Tilman Perrin, Baptiste Maille, Coralie Lemoine, Noémie Resseguier, Frédéric Franceschi, Linda Koutbi, Jérôme Hourdain, Jean-Claude Deharo
Aims: Reimplantation of cardiac implantable electronic devices (CIEDs) after extraction due to device infection is a major issue in pacemaker-dependent patients. We compared in-hospital and long-term outcomes with two techniques: epicardial reimplantation (EPI) before CIED extraction and temporary pacing (TP) with a view to delayed endocardial reimplantation. Methods and results: Two cohorts of consecutive pacemaker-dependent patients who underwent transvenous lead extraction at our tertiary centre were included in this retrospective cohort study...
June 3, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28569386/risk-score-to-assess-mortality-risk-in-patients-undergoing-transvenous-lead-extraction
#3
Ewa Oszczygieł, Andrzej Kutarski, Andrzej Oszczygieł, Beata Mańkowska-Załuska, Michał Chudzik, Jerzy Krzysztof Wranicz, Iwona Cygankiewicz
AIMS: The main aim of a study was to assess one-year mortality and its predictors in a cohort of patients who underwent transvenous lead extraction (TLE) procedure. METHODS: Retrospective analysis of clinical characteristics and 1-year follow up of patients referred for a TLE procedure in a single high volume center between June 2006 and October 2014 was performed. RESULTS: The studied population included 130 patients (82 males; mean age 64 ±15 years) implanted with pacemakers (74%), implantable cardioverter defibrillators (15%), or cardiac resynchronization therapy defibrillator (11%)...
June 1, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28552748/characterization-of-a-previously-unrecognized-clinical-phenomenon-delayed-shock-following-cardiac-implantable-electronic-device-extraction
#4
M D ArwaYounis, Roy Beinart, Nofrat Nehoray, Elad Asher, Shlomy Matetzky, Roy Beigel, Anat Wieder, Michael Glikson, Eyal Nof
BACKGROUND: Transvenous Lead Extraction (TLE) remains a challenging procedure with inherent risk and associated complications. OBJECTIVE: We sought to characterize and evaluate predictors for delayed shock following a TLE with no intra-procedural complications. METHODS: We retrospectively analyzed data of 217 consecutive patients who underwent extraction between 2010-2015. The primary end point was sudden onset of shock more than four hours following the completion of the procedure...
May 25, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28521596/overcoming-the-current-issues-surrounding-device-leads-reducing-the-complications-during-extraction
#5
Maria Grazia Bongiorni, Luca Segreti, Andrea Di Cori, Giulio Zucchelli, Luca Paperini, Stefano Viani, Ezio Soldati
The implantation rate of cardiac implantable electronic devices has consistently increased in the last 20 years, as have the related complication rates. The most relevant issue is the removal of pacing and implantable cardioverter defibrillator (ICD) leads, which a few months after implantation tend to develop intravascular fibrosis, often making extraction a challenging and risky procedure. Areas covered: The transvenous lead extraction (TLE) scenario is constantly evolving. TLE is a key procedure in lead management strategies...
June 2017: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/28506914/compliant-endovascular-balloon-reduces-the-lethality-of-superior-vena-cava-tears-during-transvenous-lead-extractions
#6
Ryan Azarrafiy, Darren C Tsang, Thomas A Boyle, Bruce L Wilkoff, Roger G Carrillo
BACKGROUND: Superior vena cava (SVC) lacerations have been identified as the most lethal complication encountered during cardiac implantable electronic device lead extraction. The case fatality rate of these events approximates 50% due to rapid exsanguination. A novel, compliant balloon specifically designed for use in the SVC may provide hemostasis in the event of endovascular perforation. By temporarily occluding the compromised vessel, the endovascular balloon should delay hemodynamic collapse, provide a more controlled surgical field for repair, and thereby reduce the mortality of SVC tears complicating transvenous lead extraction...
May 13, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28489502/advances-in-cardiac-pacing-and-defibrillation
#7
Kristin Ellison, Parikshit S Sharma, Richard Trohman
There have been many evolutionary milestones in cardiac implantable electronic device (CIED) therapy over the past few decades. These advancements have created new  challenges. Right ventricular pacing was the original (late 1950s) breakthrough, however the risk of pacing induced dyssynchrony has become evident. Biventricular pacing provided a viable way to mitigate dyssynchrony, but only benefits certain patients (primarily left bundle branch block and QRS duration ≥150 ms with depressed left ventricular (LV) function)...
June 2017: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/28477282/implantation-of-carillon-%C3%A2-mitral-contour-system-with-transvenous-left-ventricular-lead-in-place
#8
T Wengenmayer, J Reinöhl, J Steinfurt, A Mittag, C Bode, J Biermann
BACKGROUND: Cardiac resynchronisation therapy (CRT) is an established treatment option for chronic heart failure patients with left bundle branch block. Although a concomitant functional mitral regurgitation is often reduced by CRT, many patients need additional mitral valve repair. Placing a CARILLON(®) Mitral Contour System (CMCS) over a transvenous CRT lead is currently not recommended, since both of them are implanted in the coronary sinus (CS). The aim of this study was to investigate the feasibility of sequential implantation of a transvenous LV lead followed by CMCS implantation, and to assess LV lead performance and possibility of extraction...
May 5, 2017: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/28458812/infection-of-retained-defibrillator-lead-fragment-after-heart-transplant
#9
Emanuele Durante-Mangoni, Martina Vitrone, Irene Mattucci, Vincenzo Caprioli, Ciro Maiello
A 59-year old heart transplant recipient was admitted due to continuous pain in her left axilla. A purulent collection was found at the site of prior defibrillator placement, where a remnant proximal segment of an electric lead was found. Two years before, the patient had had pocket infection treated with revision, but without device extraction. The remnant lead was eventually removed transvenously without complications. This is the first description of infection complicating retention of lead fragments after heart transplant...
April 6, 2017: Clinics and Practice
https://www.readbyqxmd.com/read/28419604/predicting-the-difficulty-of-a-transvenous-lead-extraction-procedure-validation-of-the-led-index
#10
Luca Bontempi, Francesca Vassanelli, Manuel Cerini, Lorenza Inama, Francesca Salghetti, Daniele Giacopelli, Alessio Gargaro, Abdallah Raweh, Antonio Curnis
INTRODUCTION: A lead extraction difficulty (LED) score was proposed to predict the difficult transvenous lead extraction (TLE) procedures, defined by means of the fluoroscopy time. The aim of this study was to validate the estimation model based on the LED index above 10 on an independent data set of TLE cases. METHODS: Consecutive patients undergoing TLE between January 2014 and January 2016 were included in this analysis. The fluoroscopy time related to the leads removal was dichotomized as above or below its 90th percentile (PCTL)...
April 17, 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/28372898/-transvenous-cardiac-leads-extraction-with-mechanical-dilator-sheath-complications-and-possible-solutions-case-report
#11
Daniel Veron-Esquivel, Jaime Rivera-Figueroa, Fernando Batiz-Armenta
No abstract text is available yet for this article.
March 31, 2017: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/28369957/extraction-of-looped-transvenous-pacing-leads-to-reduce-tricuspid-regurgitation
#12
Jay A Montgomery, Christopher R Ellis, George H Crossley
Transvenous leads are a known source of iatrogenic tricuspid regurgitation. It is commonly held that extraction of chronic pacing and defibrillator leads will not reduce this, due to the inevitable trauma to the valve associated with the procedure. We demonstrate three cases of clinically significant reductions in tricuspid regurgitation after extraction of leads that were looped across the tricuspid valve.
March 31, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28369414/the-european-lead-extraction-controlled-electra-study-a-european-heart-rhythm-association-ehra-registry-of-transvenous-lead-extraction-outcomes
#13
Maria Grazia Bongiorni, Charles Kennergren, Christian Butter, Jean Claude Deharo, Andrzej Kutarski, Christopher A Rinaldi, Simone L Romano, Aldo P Maggioni, Maryna Andarala, Angelo Auricchio, Karl-Heinz Kuck, Carina Blomström-Lundqvist
Aims: The European Lead Extraction ConTRolled Registry (ELECTRa), is a prospective registry of consecutive transvenous lead extraction (TLE) procedures conducted by the European Heart Rhythm Association (EHRA) in order to identify the safety and efficacy of the current practice of TLE. Methods and results: European centres performing TLE, invited by the organizing committee on behalf of EHRA, prospectively recruited all consecutive patients undergoing TLE at their institution...
March 23, 2017: European Heart Journal
https://www.readbyqxmd.com/read/28340095/non-laser-percutaneous-extraction-of-pacemaker-and-defibrillation-leads-a-decade-of-progress
#14
Giulia Domenichini, Hanney Gonna, Rajan Sharma, Sergio Conti, Lorenzo Fiorista, Sue Jones, Maria Arthur, Shaumik Adhya, Marjan Jahangiri, Edward Rowland, Mark M Gallagher
Aims: Non-laser-based methods are safe in lead extraction but in the past have been less effective than laser methods. In the past decade, new equipment has been introduced including the Evolution® Mechanical Dilator Sheath and the Evolution® RL. We sought to determine the impact of new equipment on outcome in mechanical lead extraction. Methods and results: We considered 288 consecutive patients (age 66 ± 18 years) who underwent transvenous lead extraction (TLE) of 522 leads in the decade to the end of 2014...
March 17, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28255547/unexpected-challenging-case-of-coronary-sinus-lead-extraction
#15
Luca Bontempi, Donatella Tempio, Raffaella De Vito, Manuel Cerini, Francesca Salghetti, Niccolò Dasseni, Clara Villa, Abdallah Raweh, Lorenza Inama, Francesca Vassanelli, Mario Luzi, Antonio Curnis
An 84-year-old woman implanted with cardiac resynchronization therapy defibrillator underwent transvenous lead extraction 4 mo after the implant due to pocket infection. Atrial and right ventricular leads were easily extracted, while the attempt to remove the coronary sinus (CS) lead was unsuccessful. A few weeks later a new extraction procedure was performed in our center. A stepwise approach was used. Firstly, manual traction was unsuccessfully attempted, even with proper-sized locking stylet. Secondly, mechanical dilatation was used with a single inner sheath placed close to the CS ostium...
February 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/28191354/could-externalized-st-jude-medical-riata%C3%A2-lead-be-a-culture-medium-of-a-polymicrobial-endocarditis-a-clinical-case
#16
Zefferino Palamà, Roberta Trotta, Cosimo Mandurino, Mariangela Pinto, Giovanni Luzzi, Stefano Favale
We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular tracts of the Riata lead, but the cultures were all negative. The externalization of Riata lead may cause the malfunction but it could also promote bacterial colonies and vegetations...
2017: Case Reports in Cardiology
https://www.readbyqxmd.com/read/28063271/hybrid-minimally-invasive-approach-for-transvenous-lead-extraction-a-feasible-technique-in-high-risk-patients
#17
Luca Bontempi, Francesca Vassanelli, Manuel Cerini, Gianluigi Bisleri, Alberto Repossini, Laura Giroletti, Lorenza Inama, Francesca Salghetti, Daria Liberto, Daniele Giacopelli, Abdallah Raweh, Claudio Muneretto, Antonio Curnis
INTRODUCTION: Despite the overall safety, transvenous lead extraction (TLE) remains a challenging procedure with inherent risks, where surgery can still be required in elective cases. In this study, we report our experience with a minimally invasive "hybrid" approach, defined as a procedure performed by an electrophysiologist with the support of a cardiac surgeon in the same operative session. METHODS AND RESULTS: We reported 12 cases of planned hybrid lead extraction; minithoracotomy and thoracoscopy were performed on 10 (83%) and 2 (17%) patients, respectively...
April 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/27941400/lead-extraction-considerations-for-the-referring-cardiologist
#18
Ayman Hussein, Bruce L Wilkoff
The population of patients with cardiac implantable electronic devices (CIED) continues to grow owing to increasing indications in an aging population and breakthroughs in both the medical and surgical care of patients with heart disease. In clinical practice there has been a growing need for device and lead extraction due to the growing population of patients with CIEDs and the subsequent need for system upgrades or revisions because of complications, infections and lead advisory alerts. In this condensed review, we will discuss aspects of transvenous lead extraction, with a special focus on considerations that would be relevant to the referring cardiologist...
November 17, 2016: Cardiology in Review
https://www.readbyqxmd.com/read/27910081/successful-transvenous-extraction-of-an-endocardial-lead-more-than-35-years-old-using-mechanical-systems
#19
Andrzej Ząbek, Krzysztof Boczar, Maciej Dębski, Jacek Lelakowski, Barbara Małecka
No abstract text is available yet for this article.
2016: Kardiologia Polska
https://www.readbyqxmd.com/read/27763694/feasibility-of-defibrillation-and-pacing-without-transvenous-leads-in-a-combined-micra-and-s-icd-system-following-lead-extraction
#20
Jay A Montgomery, Jody M Orton, Christopher R Ellis
No abstract text is available yet for this article.
February 2017: Journal of Cardiovascular Electrophysiology
keyword
keyword
100179
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"