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transvenous lead extraction

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https://www.readbyqxmd.com/read/28933249/anesthetic-management-of-laser-lead-extraction-for-cardiovascular-implantable-electronic-devices
#1
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...
September 1, 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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/28797351/implant-and-midterm-outcomes-of-the-subcutaneous-implantable-cardioverter-defibrillator-registry-the-effortless-study
#8
MULTICENTER STUDY
Lucas Boersma, Craig Barr, Reinoud Knops, Dominic Theuns, Lars Eckardt, Petr Neuzil, Marcoen Scholten, Margaret Hood, Juergen Kuschyk, Paul Jones, Elizabeth Duffy, Michael Husby, Kenneth Stein, Pier D Lambiase
BACKGROUND: The subcutaneous implantable cardioverter-defibrillator (S-ICD) was developed to defibrillate ventricular arrhythmias, avoiding drawbacks of transvenous leads. The global EFFORTLESS S-ICD (Evaluation oF FactORs ImpacTing CLinical Outcome and Cost EffectiveneSS of the S-ICD) registry is collecting outcomes in 985 patients during a 5-year follow-up. OBJECTIVES: The primary goal of the EFFORTLESS registry is to determine the safety of the S-ICD by evaluating complications and inappropriate shock rate...
August 15, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28724879/infectious-complications-in-patients-with-cardiac-implantable-electronic-devices-risk-factors-prevention-and-prognosis
#9
Anna Polewczyk, Wojciech Jacheć, Aneta Maria Polewczyk, Andrzej Tomasik, Marianna Janion, Andrzej Kutarski
INTRODUCTION    Cardiac device infections (CDI) are still a significant problem. The knowledge of risk factors for CDI is crucial both for preventing infections and reducing mortality. OBJECTIVES    The assesment of the risk factors and long term survival of patients with CDI. PATIENTS AND METHODS    The clinical data of 1837 patients (40.9% CDI) undergoing transvenous leads extraction (TLE) at a single institution from 2006 to 2015 was analyzed. We compared the clinical and procedure-related factors for all types of CDI: isolated pocket infection (IPI), isolated lead-related infective endocarditis (ILRIE) and PI+LRIE...
July 19, 2017: Polish Archives of Internal Medicine
https://www.readbyqxmd.com/read/28716703/bridge-to-surgery-best-practice-protocol-derived-from-early-clinical-experience-with-the-bridge-occlusion-balloon-federated-agreement-from-the-eleventh-annual-lead-management-symposium
#10
Bruce L Wilkoff, Charles Kennergren, Charles J Love, Steven P Kutalek, Laurence M Epstein, Roger Carrillo
No abstract text is available yet for this article.
July 14, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28696088/cardiac-lead-management-the-future-of-transvenous-lead-extraction-approaches-and-technologies
#11
Luca Segreti, Jean-Claude Deharo
INTRODUCTION: The implantation rate of Cardiac implantable Elecrtonical Devices has consistently increased in the last 20 years, so as related complication rates. According, devices infections and malfunctions required the development of appropriate strategies, including lead removal. Transvenous lead extraction (TLE) is the gold standard for lead removal. The increasing rate of CIED implantations and of CIED related complications highlight the importance of transvenous lead extraction (TLE)...
July 10, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/28597736/venous-stenosis-and-occlusion-in-the-presence-of-endocardial-leads-in-patients-referred-for-transvenous-lead-extraction
#12
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
#13
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
#14
Ewa Oszczygieł, Andrzej Kutarski, Andrzej Oszczygieł, Beata Mańkowska-Załuska, Michał Chudzik, Jerzy Krzysztof Wranicz, Iwona Cygankiewicz
AIMS: The main aim of this study was to assess 1-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%)...
August 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28552748/characterization-of-a-previously-unrecognized-clinical-phenomenon-delayed-shock-after-cardiac-implantable-electronic-device-extraction
#15
Arwa Younis, Roy Beinart, Nofrat Nehoray, Elad Asher, Shlomy Matetzky, Roy Beigel, Anat Wieder, Michael Glikson, Eyal Nof
BACKGROUND: Transvenous lead extraction remains a challenging procedure with inherent risk and associated complications. OBJECTIVE: We sought to characterize and evaluate predictors of delayed shock after transvenous lead extraction with no intraprocedural complications. METHODS: We retrospectively analyzed data of 217 consecutive patients who underwent extraction between 2010 and 2015. The primary end point was sudden onset of shock more than 4 hours after the completion of the procedure...
May 26, 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
#16
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
#17
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
#18
REVIEW
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
#19
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
#20
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
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