Read by QxMD icon Read

transvenous lead extraction

Jay A Montgomery, Jody M Orton, Christopher R Ellis
No abstract text is available yet for this article.
October 20, 2016: Journal of Cardiovascular Electrophysiology
Erin A Fender, Ammar M Killu, Bryan C Cannon, Paul A Friedman, Christopher J Mcleod, David O Hodge, Craig S Broberg, Charles A Henrikson, Yong-Mei Cha
AIMS: Patients with congenital heart disease (CHD) are at increased risk for intracardiac device malfunction and infection that may necessitate extraction; however, the risk of extraction is poorly understood. This study addresses the safety of extraction in patients with structural heart disease and previous cardiac surgery. METHODS: This retrospective study included 40 CHD and 80 matched control patients, who underwent transvenous lead extractions between 2001 and 2014...
October 13, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Mélanie Gaubert, Roch Giorgi, Frédéric Franceschi, Linda Koutbi-Franceschi, Edouard Gitenay, Baptiste Maille, Jean-Claude Deharo
AIMS: We sought to compare outcomes and costs of a stepwise approach to transvenous lead extraction (TLE) involving laser-assisted sheaths or mechanical polypropylene sheaths, with/without crossover. METHODS AND RESULTS: We prospectively included patients who underwent TLE (between August 2013 and December 2014) as part of a stepwise approach involving simple traction, lead snaring, and sheath-assisted dissection; all of these patients underwent a first-line polypropylene-sheath-extraction approach (Group A)...
October 12, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Anna Polewczyk, Wojciech Jacheć, Andrzej Tomaszewski, Wojciech Brzozowski, Marek Czajkowski, Grzegorz Opolski, Marcin Grabowski, Marianna Janion, Andrzej Kutarski
BACKGROUND: Lead-related infective endocarditis (LRIE) is a serious infectious disease with uncertain prognosis. OBJECTIVE: The purpose of the present study is to evaluate the factors that influence survival in patients with LRIE undergoing transvenous lead extraction (TLE). METHODS: Clinical data obtained from 500 consecutive patients with LRIE undergoing TLE in the Reference Center in the years 2006-2015 were retrospectively analyzed. We evaluated the effect of demographic, clinical and procedure-related factors on 30-day and long-term survival (mean 3-year follow-up)...
October 7, 2016: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Xin-Miao Huang, Hai-Xia Fu, Li Zhong, Jiang Cao, Samuel J Asirvatham, Larry M Baddour, M Rizwan Sohail, Vuyisile T Nkomo, Rick A Nishimura, Kevin L Greason, Rakesh M Suri, Paul A Friedman, Yong-Mei Cha
BACKGROUND: Lead-related or valve-related endocarditis can complicate cardiovascular implantable electronic device (CIED) infection in patients with both CIED and prosthetic valves. The objective of this study was to determine the outcomes of transvenous lead extraction for CIED infection in patients with prosthetic valves. METHODS AND RESULTS: We retrospectively screened 794 transvenous lead extraction procedures, between September 1, 2001 and August 31, 2012, at Mayo Clinic to identify patients with prosthetic valves who underwent lead extraction for infection...
September 2016: Circulation. Arrhythmia and Electrophysiology
Jamil Bashir, Lynn M Fedoruk, John Ofiesh, Shahzad S Karim, G Frank O Tyers
BACKGROUND: Injuries to cardiac and venous structures during pacemaker and defibrillator lead extraction are serious complications that have been studied poorly. The incidence of these injuries is unknown but likely underestimated. No systematic multicenter review of these injuries or their management has been undertaken. METHODS AND RESULTS: We interrogated our mandatory administrative database for all excimer laser extractions that sustained a cardiac or venous injury in the province of British Columbia...
September 2016: Circulation. Arrhythmia and Electrophysiology
Simon Pecha, Yalin Yildirim, Nils Gosau, Muhammet Ali Aydin, Stephan Willems, Hendrik Treede, Hermann Reichenspurner, Samer Hakmi
OBJECTIVES: Lead extraction in patients with multiple or old leads of an implantable cardioverter defibrillator (ICD) is challenging. As adhesions are common at the side of the shock coils, we investigated success and procedural complication rates of laser lead extraction procedures in single- and dual-coil leads. METHODS: Between January 2001 and June 2013, 41 single- and 145 dual-coil ICD leads were extracted from 171 patients using laser sheaths. Procedural data, success rates and complications were collected into a database and retrospectively analysed...
September 13, 2016: Interactive Cardiovascular and Thoracic Surgery
Sean Gomes, Gregory Cranney, Michael Bennett, Robert Giles
BACKGROUND: Infection is one of the most feared complications of cardiac implantable electronic devices. We report microbiology, antimicrobial therapy and infection recurrence in patients with cardiac device infection (CDI) treated with transvenous lead extraction (TLE) at a single centre over a 20-year period. METHODS: We identified a cohort of consecutive patients undergoing TLE for CDI by a single operator at a single high volume centre. Retrospective analysis of patient characteristics, microbiology, outcomes and infection recurrence was performed...
August 12, 2016: Heart, Lung & Circulation
Hideo Okamura
Transvenous lead extraction is becoming popular in Japan since the approval of laser extraction system in 2010. The laser system seems to be the standard method used by most physicians, owing to its efficacy and ease of handling. The efficacy and safety of this technology has been well proven in many studies and the data suggest that it can be used for Japanese patients safely. However, lead extraction can cause serious complications. Thus, it is important to learn the limitations as well as the basic techniques and efficacy of this procedure...
August 2016: Journal of Arrhythmia
Patrick Zardo, Henning Busk, Johannes Hadem, Hassina Baraki, George Kensah, Ingo Kutschka
OBJECTIVE: Even though roughly 90% of all implanted cardiac implantable electronic devices leads can be removed through conventional techniques, presence of large vegetations or thrombi, fractured leads, previous failed extraction, or long duration from implantation often impede classical transvenous extraction. In these cases, laser-assisted procedures represent a highly successful alternative and have a low procedural complication rate with major adverse events in less than 2% of cases...
May 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Maria Grazia Bongiorni, Andrea Di Cori, Luca Segreti, Giulio Zucchelli, Stefano Viani, Luca Paperini, Francesca Menichetti, Giovanni Coluccia, Ezio Soldati
INTRODUCTION: Transvenous lead extraction (TLE) is the gold standard for lead removal. The increasing rate of cardiac implantable electronic device (CIED) implantations and of CIED related complications highlight the importance of transvenous lead extraction . AREAS COVERED: The TLE scenario is constantly changing. Optimizing lead related technology and improving TLE practice across the world are the cornerstones to improving safety and efficacy. We review the state of the art in TLE, focusing on potential future implications and improvements in terms of skills and technologies...
October 2016: Expert Review of Cardiovascular Therapy
Khaldoun G Tarakji, Christopher R Ellis, Pascal Defaye, Charles Kennergren
The incidence of infection following implantation of cardiac implantable electronic devices (CIEDs) is increasing at a faster rate than that of device implantation. Patients with a CIED infection usually require hospitalisation and complete device and lead removal. A significant proportion die from their infection. Transvenous lead extraction (TLE) is associated with rare but serious complications including major vascular injury or cardiac perforation. Operator experience and advances in lead extraction methods, including laser technology and rotational sheaths, have resulted in procedures having a low risk of complication and mortality...
May 2016: Arrhythmia & Electrophysiology Review
Anna Polewczyk, Wojciech Jacheć, Andrzej Tomaszewski, Wojciech Brzozowski, Marek Czajkowski, Aneta Maria Polewczyk, Marianna Janion, Andrzej Kutarski
AIMS: The presence of intracardiac lead vegetations (ILV) is one of the important criteria for diagnosis of lead-related infective endocarditis (LRIE). The objective of the present study was to evaluate risk factors of ILV and their impact on vegetation size. METHODS AND RESULTS: Clinical data of 500 patients with LRIE undergoing transvenous lead extraction in 2006-15 were retrospectively analysed. The study population consisted of 352 patients with the presence of vegetations (giant, >3 cm; large, 2...
June 29, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Christoph T Starck, Volkmar Falk
Transvenous lead extraction procedures have gained substantial clinical importance during the past decade. With current tools and techniques, high success rates in combination with low complication rates can be achieved by experienced centres. Even in experienced hands, life-threatening complications can occur, and every physician performing such procedures must be prepared for this scenario. This necessitates immediately available access to extracorporeal circulation, and if the operator is a cardiologist, cardiac surgical standby is mandatory...
2016: Multimedia Manual of Cardiothoracic Surgery: MMCTS
Christopher A Rajkumar, Simon Claridge, Tom Jackson, Jonathan Behar, Jonathan Johnson, Manav Sohal, Sana Amraoui, Arjun Nair, Rebecca Preston, Jaswinder Gill, Ronak Rajani, Christopher Aldo Rinaldi
AIMS: Cardiac perforations caused by pacemaker or implantable cardioverter-defibrillator (ICD) leads are uncommon but potentially fatal events. The optimal approach to such cases is unclear. The aim of this study was to identify the optimal imaging modality and management strategy for cardiac perforation. METHODS AND RESULTS: All patients presenting to a single institution with cardiac perforation >24 h since implant between 2011 and 2015 were identified retrospectively...
June 27, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Federico Migliore, Sonia Ferretto, Biagio Castaldi, Nicola Maschietto, Loira Leoni
We report a successful combined approach of transvenous mechanical pacing lead extraction and stent angioplasty for superior baffle occlusion in a young woman with D-transposition of great artery after Mustard procedure. After having extracted the pacing leads, the baffle was easily stented, thanks to the channel left by the extracted leads. Eventually, a new pacing lead was implanted into the pulmonic ventricle through the stented baffle. Our report demonstrates the safeness and feasibility of a combined interventional approach in avoiding the need for surgery...
June 23, 2016: Journal of Cardiovascular Medicine
Krzysztof Boczar, Andrzej Ząbek, Maciej Dębski, Kazimierz Haberka, Anna Rydlewska, Jacek Lelakowski, Barbara Małecka
BACKGROUND: Currently, there are no studies in which a CHA2DS2-VASc score has been used to predict the risk of venous stenosis and occlusion (VSO) in patients after the implantation of a cardiac implantable electronic device (CIED). METHODS: The material consists of the records of 223 consecutive patients qualified for transvenous lead extraction, generator change and system revisions or upgrades in whom we assessed the utility of a CHA2DS2-VASc score in the prediction of VSO...
September 1, 2016: International Journal of Cardiology
Farah Z Dawood, Andrew Boerkircher, Bryon Rubery, Don Hire, Elsayed Z Soliman
BACKGROUND: Temporary-permanent pacemakers [TPPM] are externally placed permanent generators attached to active fixation transvenous leads. TPPM can be used as an alternative to standard temporary pacing leads when placement of a permanent pacemaker is contraindicated. We sought to determine the incidence and risk factors for early (within 6months) mortality after placement of a TPPM. METHODS: Electronic medical records were used to extract baseline characteristics for 152 patients from Wake Forest Baptist Medical Center who had a TPPM placed between the years 2007 and 2012...
July 2016: Journal of Electrocardiology
François Regoli, Maria Grazia Bongiorni, Roberto Rordorf, Matteo Santamaria, Caterine Klersy, Luca Segreti, Valentina De Regibus, Tiziano Moccetti, Giulio Conte, Maria Luce Caputo, Angelo Auricchio
INTRODUCTION: Little is known about the clinical outcome and recurring system-related adverse events (SAE) in cardiac resynchronization therapy (CRT) patients after transvenous lead extraction (TLE). METHODS AND RESULTS: From January 2009 to June 2014, 256 consecutive CRT patients (mean age 68.3 ± 11.6 years, 216 male, 88% in New York Heart Association class II-IV, ejection fraction 35.1 ± 10.8%) were treated at four European institutions with TLE. Indications for TLE included systemic (18%) or local (45%) infection, system malfunction (34%), or other (3%)...
May 12, 2016: European Journal of Heart Failure
Marcin Grabowski, Andrzej Kutarski, Agnieszka Kołodzińska, Radosław Piątkowski, Franciszek Majstrak
No abstract text is available yet for this article.
2016: Kardiologia Polska
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"