Working on the dirty side-the ipsilateral subclavian access for temporary pacing after lead extraction.
| Title: | Working on the dirty side-the ipsilateral subclavian access for temporary pacing after lead extraction. |
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| Authors: | Zweiker D; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Third Clinical Department for Cardiology and Intensive Care Klinik Ottakring Vienna Austria.; Division of Cardiology Medical University of Graz Graz Austria.; Melillo F; Department of Cardiovascular Imaging Unit, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; D'Angelo G; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Radinovic A; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Marzi A; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Cianfanelli L; Cardiac Rehabilitation Unit IRCCS San Raffaele Scientific Institute Milan Italy.; Altizio S; Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Limite LR; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Paglino G; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Frontera A; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Nakajima K; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Brugliera L; Cardiac Rehabilitation Unit IRCCS San Raffaele Scientific Institute Milan Italy.; Malatino L; Department of Clinical and Experimental Medicine University of Catania Catania Italy.; Della Bella P; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy.; Mazzone P; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute Vita-Salute University and San Raffaele Hospital Milan Italy. |
| Source: | Journal of arrhythmia [J Arrhythm] 2022 Feb 04; Vol. 38 (2), pp. 192-198. Date of Electronic Publication: 2022 Feb 04 (Print Publication: 2022). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley Country of Publication: Japan NLM ID: 101263026 Publication Model: eCollection Cited Medium: Print ISSN: 1880-4276 (Print) Linking ISSN: 18804276 NLM ISO Abbreviation: J Arrhythm Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 2018- : Tokyo : Wiley; Original Publication: Tokyo : Japanese Society of Cardiac Pacing and Electrophysiology |
| Abstract: | Background: Temporary pacing is necessary in pacemaker-dependent patients after transvenous lead extraction (TLE) for cardiac implantable electronic device infection. In case of unavailability of other accesses, we propose to use the ipsilateral subclavian access (ISA) combined with a standard permanent active fixation lead for the temporary pacemaker and present preliminary data.; Methods: We consecutively enrolled patients undergoing TLE who received a temporary pacemaker using the ISA between August 2016 and April 2020 at our centre.; Results: During the observation period, 36 patients undergoing TLE for pocket infection (72.2%), endocarditis (25.0%) or other causes received a temporary pacemaker over the ISA. Their mean age was 77.0 ± 10.7 years, and 13.9% were female. Complete TLE was achieved in 94.4%. There were no major periprocedural complications. Intra-hospital mortality was 11.1%. Pocket revision was performed in 19.4%. During long-term follow-up (23 ± 13 months), 8.3% had a relapse of local pocket infection and 2.8% needed rehospitalization for reintervention.; Conclusions: Temporary pacing using a standard permanent active fixation lead using the ISA is a convenient alternative to conventional venous accesses. However, risks of implanting a lead into a previously infected area have to be taken into account.; (© 2022 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.) |
| Competing Interests: | David Zweiker received speaker honoraria and travel grants from Daiichi Sankyo and research grants from Boston Scientific. Patrizio Mazzone is a proctor for Cook Medical. All other authors report no conflict of interest whatsoever. |
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| Contributed Indexing: | Keywords: Transvenous lead extraction; cardiovascular implantable electrical device; pocket infection; subclavian access |
| Entry Date(s): | Date Created: 20220407 Latest Revision: 20240826 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC8977584 |
| DOI: | 10.1002/joa3.12677 |
| PMID: | 35387138 |
| Database: | MEDLINE |
Journal Article