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transvenous lead extraction

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https://www.readbyqxmd.com/read/29325975/procedural-outcomes-and-long-term-survival-associated-with-lead-extraction-in-patients-with-abandoned-leads
#1
Faisal M Merchant, Thor Tejada, Adarsh Patel, Jad El-Khalil, Yaanik Desai, Brent Keeling, Omar M Lattouf, Angel R Leon, Mikhael F El-Chami
BACKGROUND: The decision to abandon or extract superfluous sterile leads is controversial. OBJECTIVE: To compare procedural outcomes and long-term survival of patients with and without abandoned leads undergoing lead extraction (LE). METHODS: Retrospective review of all patients undergoing transvenous LE at our institution from Jan. 2007 to May 2016. Patients were stratified into two groups based on the presence (Group 1) or absence (Group 2) of abandoned leads...
January 8, 2018: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/29321192/transvenous-lead-extraction-in-chronic-kidney-disease-and-dialysis-patients-with-infected-cardiac-devices
#2
Amr F Barakat, Oussama M Wazni, Khaldoun G Tarakji, Thomas Callahan, Nayef Nimri, Walid I Saliba, Shailee Shah, Karim Abdur Rehman, John Rickard, Michael P Brunner, David O Martin, Mohamed Kanj, Bryan Baranowski, Daniel Cantillon, Mark Niebauer, Thomas Dresing, Bruce D Lindsay, Bruce L Wilkoff, Ayman A Hussein
BACKGROUND: Cardiac implantable electronic device infections have been on the rise. A high-risk population is that with renal disease, especially dialysis. We aimed to assess procedural profiles and clinical outcomes of transvenous lead extraction for cardiac implantable electronic device infection based on renal disease status. METHODS AND RESULTS: In 1420 consecutive patients undergoing transvenous lead extraction of infected cardiac implantable electronic devices (1996-2012), we assessed procedural profiles and clinical outcomes in 3 groups: normal renal function (group 1, n=1159), renal dysfunction not requiring dialysis (group 2, n=163), and dialysis (group 3, n=98)...
January 2018: Circulation. Arrhythmia and Electrophysiology
https://www.readbyqxmd.com/read/29317140/transvenous-pacing-in-pediatric-patients-with-bipolar-lumenless-lead-ten-year-clinical-experience
#3
Paolo De Filippo, Fabrizio Giofrè, Cristina Leidi, Michele Senni, Paola Ferrari
INTRODUCTION: A number of challenges can affect long-term performance of endocardial implanted systems in pediatric patients. Select Secure™ lead offers potential advantages for this population. This analysis aims to evaluate long-term performance of this lead in children, with and without congenital heart disease. METHODS: A retrospective analysis of all patients younger than 16years, implanted with at least one Select Secure™ lead at our institution, was performed...
January 4, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29314081/predictors-and-outcomes-of-patients-requiring-repeat-transvenous-lead-extraction-of-pacemaker-and-defibrillator-leads
#4
Simon Claridge, Jonathan Johnson, Gazi Sadnan, Jonathan M Behar, Bradley Porter, Benjamin Sieniewicz, Tom Jackson, Jessica Webb, Justin Gould, Manav Sohal, Shoaib Hamid, Nik Patel, Jaswinder Gill, Christopher A Rinaldi
BACKGROUND: A proportion of patients who undergo an initial lead extraction procedure will require a second, repeat extraction. Data regarding this clinical entity are scarce and neither the predisposing risk factors for, nor outcomes from these procedures have been described previously. We sought to determine the incidence, risk factors and outcomes of repeat lead extraction. METHODS: A database of extraction procedures from 2001-2015 was analyzed. Repeat extraction procedures were identified and the indication for extraction was dichotomized into infection and lead related problems...
January 5, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29141184/unrecognized-venous-injuries-after-cardiac-implantable-electronic-device-transvenous-lead-extraction
#5
Khaldoun G Tarakji, Walid Saliba, Danny Markabawi, E Rene Rodriguez, Yoaav Krauthammer, Michael P Brunner, Ayman A Hussein, Bryan Baranowski, Daniel J Cantillon, Mohamed Kanj, Mark Niebauer, Jack Rickard, Thomas Callahan, Mingyuan Shao, David O Martin, Oussama M Wazni, Bruce L Wilkoff, Carmela D Tan
BACKGROUND: Major complication rate of transvenous lead extraction (TLE) is estimated around 1-2.0%. Laceration of the central veins can be fatal. OBJECTIVES: to define the incidence and extent of venous injuries on a microscopic level after TLE and compare it with the incidence of clinically documented events of venous laceration. METHODS: We studied all patients who underwent TLE at our tertiary center within 30 months via a variety of techniques...
November 7, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/29076815/transvenous-lead-extraction-can-it-be-simple-yet-safe
#6
EDITORIAL
Antonios P Antoniadis, Vassilios P Vassilikos
No abstract text is available yet for this article.
October 2017: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29049802/the-bridge-occlusion-balloon-as-a-safety-net-in-a-high-risk-transvenous-lead-extraction-procedure
#7
Simon Pecha, Julia Vogler, Hermann Reichenspurner, Samer Hakmi
Injuries to the superior vena cava (SVC) during transvenous lead extraction (TLE) procedures are a rare but life-threatening complication. The Bridge Occlusion Balloon (BOB) is specifically designed for temporary SVC occlusion in TLE procedures. We report the first case of a 27-year-old man using the BOB as a safety net in a high-risk TLE procedure. This patient, with a congenitally corrected transposition of the great arteries and a third-degree atrioventricular block, presented with 4 dysfunctional pacemaker leads, venous stenosis and the necessity for a new pacemaker system...
September 8, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29042423/low-prevalence-of-inappropriate-shocks-in-patients-with-inherited-arrhythmia-syndromes-with-the-subcutaneous-implantable-defibrillator-single-center-experience-and-long-term-follow-up
#8
Boris Rudic, Erol Tülümen, Veronika Berlin, Susanne Röger, Ksenija Stach, Volker Liebe, Ibrahim El-Battrawy, Christina Dösch, Theano Papavassiliu, Ibrahim Akin, Martin Borggrefe, Jürgen Kuschyk
BACKGROUND: Up to 40% of patients with transvenous implantable cardioverter-defibrillator (ICD) experience lead-associated complications and may suffer from high complication rates when lead extraction is indicated. Subcutaneous ICD may represent a feasible alternative; however, the efficacy of the subcutaneous ICD in the detection and treatment of ventricular arrhythmias in patients with hereditary arrhythmia syndromes has not been fully evaluated. METHODS AND RESULTS: Patients with primary hereditary arrhythmia syndromes who fulfilled indication for defibrillator placement were eligible for enrollment...
October 17, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29032885/the-subtle-connection-between-development-of-cardiac-implantable-electrical-device-infection-and-survival-after-complete-system-removal-an-observational-prospective-multicenter-study
#9
Igor Diemberger, Federico Migliore, Mauro Biffi, Alberto Cipriani, Emanuele Bertaglia, Stefano Lorenzetti, Giulia Massaro, Gaia Tanzarella, Giuseppe Boriani
BACKGROUND: Despite the improvements in transvenous lead extraction (TLE), patients with cardiac implantable device related infection (CIEDI) have a poor prognosis at long term. We explored the possible role of factors associated with development of CIEDI as predictors of post-TLE survival. METHODS: We performed a multi-center prospective observational study in a population of consecutive patients referred for TLE for CIEDI. We adopted a previously developed 10-point scale for CIEDI risk stratification and assessed its performance in predicting post-TLE survival...
October 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/29018517/key-lessons-from-the-electra-registry-in-the-modern-era-of-transvenous-lead-extraction
#10
Angelo Auricchio, François Regoli, Giulio Conte, Maria Luce Caputo
The implantation rate of cardiac electronic devices has grown over the past decades. The number of treated patients has increased in parallel with the complexity of the patient population treated, being older, frailer, having more complex devices (in particular, cardiac resynchronisation therapy) and presenting with a greater comorbidity burden. As a consequence, there is a rising number of related implanted system complications, including malfunction and infection. Thus, the demand for transvenous lead extraction (TLE) has also substantially increased...
August 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/29016781/effectiveness-safety-and-long-term-outcomes-of-non-powered-mechanical-sheaths-for-transvenous-lead-extraction
#11
Andrzej Kutarski, Marek Czajkowski, Radoslaw Pietura, Bogdan Obszanski, Anna Polewczyk, Wojciech Jachec, Maciej Polewczyk, Krzysztof Mlynarczyk, Marcin Grabowski, Grzegorz Opolski
Aims: To analyse the effectiveness, safety and long-term outcomes of conventional non-powered mechanical systems for transvenous lead extraction (TLE) performed by experienced first operators. Outcomes were assessed according to lead location and type of operating room in which the procedure was performed. Methods and results: Data from 2049 patients (mean age: 65 years), with infectious (40%) or non-infectious (60%) indications, were analysed over a mean of 3...
August 1, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29016771/predictors-of-long-term-survival-free-from-relapses-after-extraction-of-infected-cied
#12
Igor Diemberger, Mauro Biffi, Stefano Lorenzetti, Cristian Martignani, Elena Raffaelli, Matteo Ziacchi, Claudio Rapezzi, Davide Pacini, Giuseppe Boriani
Aims: We explored the possible predictors of long-term prognosis after transvenous lead extraction (TLE) for a cardiac implantable device related infection (CIEDI), including the modified Duke score result. Methods and results: We performed a single centre prospective observational study in a population of consecutive patients referred for TLE to a teaching hospital to treat a CIEDI without associated valve-endocarditis. 121 patients were enrolled between January 2012 and March 2016...
August 9, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28948150/a-case-of-symmetrical-peripheral-gangrene-associated-with-transvenous-lead-extraction
#13
Darren C Tsang, Roger G Carrillo
No abstract text is available yet for this article.
September 2017: HeartRhythm Case Reports
https://www.readbyqxmd.com/read/28933249/anesthetic-management-of-laser-lead-extraction-for-cardiovascular-implantable-electronic-devices
#14
Meena Bhatia, Payam Safavi-Naeini, Mehdi Razavi, Charles D Collard, Daniel A Tolpin, James M Anton
Cardiovascular implantable electronic devices (CIEDs) play a significant role in the modern management of cardiovascular disease. CIEDs include implantable pacemakers (PMs), implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. These devices improve the quality of life of their recipients and help reduce the incidence of sudden cardiac death. Traditionally, CIEDs have been reliant on the use of transvenous endocardial leads to directly connect with the heart. Over time, these endovascular leads may become endothelialized rendering removal extremely difficult...
December 2017: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/28878903/combined-laser-and-femoral-approach-to-remove-a-previous-failure-of-riata-lead-extraction
#15
Antonio Dello Russo, Gaetano Michele Fassini, Sergio Conti, Giulia Vettor, Michela Casella, Fabrizio Tundo, Maurizio Roberto, Francesco Grillo, Francesco Alamanni, Claudio Tondo
Transvenous extraction of Riata lead could be a challenging procedure due to insulation failure and conductor cables' externalization through the eroded outer insulation. In this case, a complete lead extraction was achieved through a combined LASER and femoral approach because of the massive conductors' externalization.
September 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28854697/transvenous-lead-extraction
#16
A Tofield
No abstract text is available yet for this article.
August 21, 2017: European Heart Journal
https://www.readbyqxmd.com/read/28843419/utility-of-intracardiac-echocardiography-during-transvenous-lead-extraction
#17
Mouhannad M Sadek, Joshua M Cooper, David S Frankel, Pasquale Santangeli, Andrew E Epstein, Francis E Marchlinski, Robert D Schaller
BACKGROUND: Transvenous lead extraction (TLE) carries a significant risk of intraprocedural complications. Phased-array intracardiac echocardiography (ICE) is widely used during cardiac procedures; however, its utility during TLE has not been well described. OBJECTIVE: We sought to define the utility of ICE imaging during TLE. METHODS: Fifty patients referred for TLE were included. Patients underwent ICE imaging before and throughout TLE. Clinical characteristics of the patients, ICE findings, and procedural outcomes were collected and analyzed...
August 24, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28842225/transvenous-lead-extraction-at-the-time-of-cardiac-implantable-electronic-device-upgrade-complexity-safety-and-outcomes
#18
Amr F Barakat, Oussama M Wazni, Khaldoun Tarakji, Walid I Saliba, Nayef Nimri, John Rickard, Michael Brunner, Mandeep Bhargava, Mohamed Kanj, Bryan Baranowski, David O Martin, Daniel Cantillon, Thomas Callahan, Thomas Dresing, Mark Niebauer, Mina Chung, Bruce D Lindsay, Bruce Wilkoff, Ayman A Hussein
BACKGROUND: The practice of lead abandonment at the time of cardiac implantable electronic device upgrade remains a controversial topic but is affecting an increasing number of patients. Inherent risks include high-risk extractions of redundant leads when extraction is required at a later date. OBJECTIVES: We aimed to report our experience with transvenous lead extraction (TLE) at the time of device upgrade. METHODS: All consecutive TLE procedures at the time of device upgrade at the Cleveland Clinic between 1996 and 2012 were included (n = 503)...
August 23, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28840589/occurrence-and-extraction-of-implantable-cardioverter-defibrillator-leads-with-conductor-externalization
#19
Aleksander Maciąg, Paweł Syska, Maciej Sterliński, Agnieszka Kołodzińska, Artur Oręziak, Krzysztof Kuśmierski, Marta Marciniak-Emmons, Andrzej Przybylski, Łukasz Szumowski, Grzegorz Opolski, Hanna Szwed
BACKGROUND: The increasing number of patients (pts) with implantable cardioverter-defibrillators (ICD) contributes to BACKGROUND: : The increasing number of patients with implantable cardioverter-defibrillators (ICD) contributes to the rising number of patients qualifying for a transvenous lead extraction (TLE) due to infection, vascular or lead failure related indications. The purpose of this study was to perform a retrospective analysis of the occurrence of conductor externalization in TLE patients and to assess the success rate in theextraction of these leads...
August 25, 2017: Cardiology Journal
https://www.readbyqxmd.com/read/28797678/long-term-outcomes-of-prophylactic-placement-of-an-endovascular-balloon-in-the-vena-cava-for-high-risk-transvenous-lead-extractions
#20
Darren C Tsang, Ryan Azarrafiy, Simon Pecha, Hermann Reichenspurner, Roger G Carrillo, Samer Hakmi
BACKGROUND: Many clinicians use the strategy of prophylactically placing an endovascular balloon before transvenous lead extraction, yet there are no data regarding this practice. OBJECTIVE: This study assesses long-term outcomes of prophylactic placement of an endovascular balloon in the venae cavae of patients during transvenous lead extraction. METHODS: From April 1, 2016 to March 31, 2017 data were prospectively collected at 2 international cardiovascular centers on patients who had the balloon prophylactically placed in the venae cavae...
August 7, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
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