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transvenous lead extraction

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https://www.readbyqxmd.com/read/28419604/predicting-the-difficulty-of-a-transvenous-lead-extraction-procedure-validation-of-the-led-index
#1
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 90(th) 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
#2
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
#3
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. This article is protected by copyright. All rights reserved.
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
Jay A Montgomery, Jody M Orton, Christopher R Ellis
No abstract text is available yet for this article.
February 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/27738059/lead-extraction-outcomes-in-patients-with-congenital-heart-disease
#12
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 and results: This retrospective study included 40 CHD and 80 matched control patients, who underwent transvenous lead extractions between 2001 and 2014...
March 1, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/27733470/outcomes-and-costs-associated-with-two-different-lead-extraction-approaches-a-single-centre-study
#13
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
https://www.readbyqxmd.com/read/27725287/lead-related-infective-endocarditis-factors-influencing-early-and-long-term-survival-in-patients-undergoing-transvenous-lead-extraction
#14
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 this study was 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 to 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)...
January 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/27635069/outcomes-of-transvenous-lead-extraction-for-cardiovascular-implantable-electronic-device-infections-in-patients-with-prosthetic-heart-valves
#15
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
https://www.readbyqxmd.com/read/27625167/classification-and-surgical-repair-of-injuries-sustained-during-transvenous-lead-extraction
#16
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
https://www.readbyqxmd.com/read/27624353/laser-lead-extraction-allows-for-safe-and-effective-removal-of-single-and-dual-coil-implantable-cardioverter-defibrillator-leads-a-single-centre-experience-over-12-years
#17
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
https://www.readbyqxmd.com/read/27614558/lead-extraction-for-treatment-of-cardiac-device-infection-a-20-year-single-centre-experience
#18
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
https://www.readbyqxmd.com/read/27588149/lead-extraction-using-a-laser-system-techniques-efficacy-and-limitations
#19
REVIEW
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
https://www.readbyqxmd.com/read/27537189/a-novel-video-assisted-approach-to-excimer-laser-guided-cardiac-implantable-electronic-devices-lead-extraction
#20
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
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