Cor Vasa 2022, 64(3):271-275 | DOI: 10.33678/cor.2021.135
(Cardiac electronic device extraction - our experience)
- I. interní klinika - kardiologická, Fakultní nemocnice Olomouc, Olomouc
Aims: Objective of this study is to register data and trends in population of patients indicated for lead extraction or complete system removal. Basic demographic data, extraction success rate as well as complications, mortality, and its predictors were collected.
Methodology: Prospectively collected consequent patients indicated to lead extraction or system removal from our centre were included. Data regarding demography, device age, device type, extraction method and one month and one year mortality were collected. Outcomes: 172 patients were enrolled between years 2017-2020. 59.3% patients were indicated because of cardiac system infection. Success rate (full clinical and radiological) reached 92%, one month mortality 6.4%, one year mortality 14.5%. Explanted systems were 7.4 years old in average.
Conclusion: Percutaneous lead extraction is an established method, which is in our conditions safe and effective as in large European centres. Urgent cardiac surgery availability as well as adequate number of performed procedures are necessary safety precautions.
Keywords: Cardiac device related endocarditis, Laser extraction, Lead extraction
Received: October 24, 2021; Revised: October 24, 2021; Accepted: November 25, 2021; Published: June 22, 2022 Show citation
References
- Národní registr implantabilních kardioverter-defibrilátorů 2019. https://www.kardio-cz.cz/narodni-registry-vykonu-v-arytmologii-2019-1033/. Navštíveno: 23. 5. 2021.
- Kusumoto FM, Schoenfeld MH, Wilkoff BL, et al. 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction. Heart Rhythm 2017;14:e503-e551.
Go to original source...
Go to PubMed...
- Jędrzejczyk-Patej E, Mazurek M, Kowalski O, et al. Device--related infective endocarditis in cardiac resynchronization therapy recipients - Single center registry with over 2500 person-years follow up. Int J Cardiol 2017;227:18-24.
Go to original source...
Go to PubMed...
- Özcan C, Raunsø J, Lamberts M, et al. Infective endocarditis and risk of death after cardiac implantable electronic device implantation: a nationwide cohort study. Europace 2017;19:1007-1014.
Go to original source...
Go to PubMed...
- Uslan DZ, Sohail MR, St Sauver JL, et al. Permanent pacemaker and implantable cardioverter defibrillator infection: a population-based study. Arch Intern Med 2007;167:669-675.
Go to original source...
Go to PubMed...
- Greenspon AJ, Patel JD, Lau E, et al. 16-Year Trends in the Infection Burden for Pacemakers and Implantable Cardioverter-Defibrillators in the United States. J Am Coll Cardiol 2011;58:1001-1006.
Go to original source...
Go to PubMed...
- Voigt A, Shalaby A, Saba S. Continued rise in rates of cardiovascular implantable electronic device infections in the United States: Temporal trends and causative insights. Pacing Clin Electrophysiol 2010;33:414-419.
Go to original source...
Go to PubMed...
- Van Rees JB, Van Welsenes GH, Borleffs CJW, et al. Update on small-diameter implantable cardioverter-defibrillator leads performance. Pacing Clin Electrophysiol 2012;35:652-658.
Go to original source...
Go to PubMed...
- Arnsbo P, Møller M. Updated appraisal of pacing lead performance from the Danish Pacemaker Register: The reliability of bipolar pacing leads has improved. Pacing Clin Electrophysiol 2000;23:1401-1406.
Go to original source...
Go to PubMed...
- Viganego F, O'Donoghue S, Eldadah Z, et al. Effect of Early Diagnosis and Treatment With Percutaneous Lead Extraction on Survival in Patients With Cardiac Device Infections. Am J Cardiol 2012;109:1466-1471.
Go to original source...
Go to PubMed...
- Rijal S, Shah RU, Saba S. Extracting versus abandoning sterile pacemaker and defibrillator leads. Am J Cardiol 2015;115:1107-1110.
Go to original source...
Go to PubMed...
- Bongiorni MG, Dagres N, Estner H, et al. Management of malfunctioning and recalled pacemaker and defibrillator leads: Results of the European Heart Rhythm Association survey. Europace 2014;16:1674-1678.
Go to original source...
Go to PubMed...
- Jacheć W, Polewczyk A, Segreti L, et al. To abandon or not to abandon: Late consequences of pacing and ICD lead abandonment. Pacing Clin Electrophysiol 2019;42:1006-1017.
Go to original source...
Go to PubMed...
- Hussein AA, Tarakji KG, Martin DO, et al. Cardiac Implantable Electronic Device Infections: Added Complexity and Suboptimal Outcomes With Previously Abandoned Leads. JACC Clin Electrophysiol 2017;3:1-9.
Go to original source...
Go to PubMed...
- Lambert CT, Tarakji KG. Cardiac implantable electronic device infection. Cleve Clin J Med 2017;84(12 suppl 3):47-53.
Go to original source...
Go to PubMed...
- Wilkoff BL, Kennergren C, Love CJ, et al. 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. Heart Rhythm 2017;14:1574-1578.
Go to original source...
Go to PubMed...
- Wazni O, Epstein LM, Carrillo RG, et al. Lead Extraction in the Contemporary Setting: The LExICon Study. An Observational Retrospective Study of Consecutive Laser Lead Extractions. J Am Coll Cardiol 2010;55:579-586.
Go to original source...
Go to PubMed...
- Brunner MP, Cronin EM, Wazni O, et al. Outcomes of patients requiring emergent surgical or endovascular interventionfor catastrophic complications during transvenous lead extraction. Heart Rhythm 2014;11:419-425.
Go to original source...
Go to PubMed...
- Sadek MM, Cooper JM, Frankel DS, et al. Utility of intracardiac echocardiography during transvenous lead extraction. Heart Rhythm 2017;14:1779-1785.
Go to original source...
Go to PubMed...
- Sood N, Martin DT, Lampert R, et al. Incidence and Predictors of Perioperative Complications with Transvenous Lead Extractions: Real-World Experience with National Cardiovascular Data Registry. Circ Arrhythmia Electrophysiol 2018;11:e004768. doi:10.1161/CIRCEP.116.004768
Go to original source...
Go to PubMed...
- Perez AA, Woo FW, Tsang DC, Carrillo RG. Transvenous lead extractions: Current approaches and future trends. Arrhythmia Electrophysiol Rev 2018;7:210-217.
Go to original source...
Go to PubMed...
- Patel N, Azemi T, Zaeem F, et al. Vacuum assisted vegetation extraction for the management of large lead vegetations. J Card Surg 2013;28:321-324.
Go to original source...
Go to PubMed...
- Bongiorni MG, Kennergren C, Butter C, et al. The European Lead Extraction ConTRolled (ELECTRa) study: a European Heart Rhythm Association (EHRA) Registry of Transvenous Lead Extraction Outcomes. Eur Heart J 2017; 38:2995-3005.
Go to original source...
Go to PubMed...
- Roberto M, Sicuso R, Manganiello S, et al. Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience. Int J Cardiol 2019;279:35-39.
Go to original source...
Go to PubMed...
- Afzal MR, Daoud EG, Matre N, et al. RIsk Stratification prior to lead Extraction and impact on major intraprocedural complications (RISE protocol). J Cardiovasc Electrophysiol 2019;30:2453-2459.
Go to original source...
Go to PubMed...
- Buiten MS, van der Heijden AC, Schalij MJ, van Erven L. How adequate are the current methods of lead extraction? A review of the efficiency and safety of transvenous lead extraction methods. Europace 2015;17:689-700.
Go to original source...
Go to PubMed...
- Azarrafiy R, Tsang DC, Wilkoff BL, et al. Endovascular Occlusion Balloon for Treatment of Superior Vena Cava Tears During Transvenous Lead Extraction: A Multiyear Analysis and an Update to Best Practice Protocol. Circ Arrhythm Electrophysiol 2019;12:e007266. doi:10.1161/CIRCEP.119.007266
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.