Step by Step through the Years-High vs. Low Energy Lead Extraction Using Advanced Extraction Techniques.
| Title: | Step by Step through the Years-High vs. Low Energy Lead Extraction Using Advanced Extraction Techniques. |
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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, Via Olgettina 60, 20132 Milan, Italy.; Third Clinical Department for Cardiology and Intensive Care, Pavillon 29, Klinik Ottakring, Montleartstraße 37, 1160 Vienna, Austria.; Division of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.; El Sawaf B; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; D'Angelo G; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Radinovic A; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Marzi A; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Limite LR; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Frontera A; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Department of Electrophysiology and Electrostimulation, Humanitas Research Hospital, Via Manzoni 56, 20089 Milan, Italy.; Paglino G; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Spartalis M; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Zachariah D; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Nakajima K; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Della Bella P; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.; Mazzone P; Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy. |
| Source: | Journal of clinical medicine [J Clin Med] 2022 Aug 19; Vol. 11 (16). Date of Electronic Publication: 2022 Aug 19. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG, [2012]- |
| Abstract: | Background: Limited data is available about the outcome of TLE in patients with vs. without high energy leads in the last decade. Methods: This is an analysis of consecutive patients undergoing TLE at a high-volume TLE centre from 2001 to 2021 using the stepwise approach. Baseline characteristics, procedural details and outcome of patients with high energy lead (ICD group) vs. without high energy lead (non-ICD group) were compared. Results: Out of 667 extractions, 991 leads were extracted in 405 procedures (60.7%) in the ICD group and 439 leads in 262 procedures (39.3%) in the non-ICD group. ICD patients were significantly younger (median 67 vs. 74 years) and were significantly less often female (18.1% vs. 27.7%, p < 0.005 for both). Advanced extraction tools were used significantly more often in the ICD group (73.2% vs. 37.5%, p < 0.001), but there were no significant differences in the successful removal (98.8% vs. 99.2%) or complications (4.7% vs. 3.1%) between the groups (p > 0.2 for both). Discussion: Using the stepwise approach, overall procedural success was high and complication rate was low in a high-volume centre. In patients with a high energy lead, the TLE procedure was more complex, but outcome was similar to comparator patients. |
| 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 declare no conflict of interest. |
| References: | Europace. 2019 Apr 1;21(4):645-654. (PMID: 30624715); Heart Rhythm. 2014 Dec;11(12):2196-201. (PMID: 25111324); Heart Rhythm. 2017 Dec;14(12):e503-e551. (PMID: 28919379); Vasc Health Risk Manag. 2021 Aug 05;17:445-459. (PMID: 34385818); Eur Heart J. 2015 Nov 21;36(44):3075-3128. (PMID: 26320109); J Clin Med. 2020 Jan 28;9(2):. (PMID: 32013032); Europace. 2019 Jun 1;21(6):928-936. (PMID: 30590509); Heart Rhythm. 2014 Mar;11(3):419-25. (PMID: 24315967); Heart Rhythm. 2009 Jul;6(7):1085-104. (PMID: 19560098); Europace. 2022 May 3;24(5):817-827. (PMID: 34652415); Pacing Clin Electrophysiol. 2011 Aug;34(8):1013-27. (PMID: 21707667); Eur Heart J. 2015 Nov 1;36(41):2793-2867. (PMID: 26320108); Int J Environ Res Public Health. 2021 Oct 03;18(19):. (PMID: 34639716); Europace. 2020 Apr 1;22(4):613-621. (PMID: 32087025); Eur Heart J. 2021 Sep 14;42(35):3427-3520. (PMID: 34455430); Eur Heart J. 2021 Sep 21;42(36):3599-3726. (PMID: 34447992); Eur Heart J. 2017 Oct 21;38(40):2995-3005. (PMID: 28369414); JACC Clin Electrophysiol. 2017 Jan;3(1):1-9. (PMID: 29759687); Europace. 2020 Jul 1;22(7):1103-1110. (PMID: 32447388); Heart Rhythm. 2022 Jul;19(7):1097-1103. (PMID: 34695576); Am Heart J. 2019 Nov;217:131-139. (PMID: 31654943); J Clin Med. 2021 Sep 07;10(18):. (PMID: 34575152); Pacing Clin Electrophysiol. 2021 Jan;44(1):120-128. (PMID: 33067867); Europace. 2015 Jan;17 Suppl 1:i1-75. (PMID: 25616426) |
| Grant Information: | N/A Verein zur Förderung der Forschung auf dem Gebiet der Arteriosklerose, Thrombose und vaskulären Biologie (ATVB) |
| Contributed Indexing: | Keywords: implantable cardiac defibrillator; retrospective analysis; risk score; transcatheter lead extraction |
| Entry Date(s): | Date Created: 20220826 Latest Revision: 20230308 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC9410501 |
| DOI: | 10.3390/jcm11164884 |
| PMID: | 36013123 |
| Database: | MEDLINE |
Journal Article