Contributions of Advanced Techniques to the Success and Safety of Transvenous Leads Extraction

Marijon, Éloi; Boveda, Serge; Guillebon, Maxime De; Jacob, Sophie; Vahdat, Olivier; Barandon, Laurent; Combes, Nicolas; Sidobre, Laurent; Albenque, Jean‐Paul; Clémenty, Jacques; Bordachar, Pierre

doi:10.1111/j.1540-8159.2008.02225.x

Cited by 44 publications

(43 citation statements)

References 8 publications

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“…In our center's experience, successful lead extraction was achieved in about one third of patients, using simple traction with a nonlocking stylet, an outcome similar to that reported in several large series on older adult patients with simple extraction success rates ranging from 16.4% to 31.2%. [1][2][3][4][5]7,12 Of the leads undergoing a complex extraction in our study, about three quarters required the use of an RF-powered sheath, which was successful in more than half, for a cumulative success rate of 94%. There are no reports on the use of RF-powered sheaths in pediatric or adult CHD patients.…”

Section: Discussionmentioning

confidence: 99%

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Lead Extraction in Pediatric and Congenital Heart Disease Patients

Cecchin

Atallah

Walsh

et al. 2010

Circ: Arrhythmia and Electrophysiology

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Background-Transvenous pacemaker and defibrillator implantation is an expanding practice in pediatric and congenital heart disease patients, and given the finite longevity of current lead designs, lead extraction is an eventuality for a significant subset of these patients. were found to be associated with a decreased likelihood of simple extraction. There were 4 major and 4 minor procedural complications involving 8 patients and no procedure-related deaths. On univariate analysis, lead age (OR, 1.28; 95% CI, 1.09 to 1.50; Pϭ0.002) was the only factor associated with procedural complications. Conclusions-The majority of leads implanted in pediatric and congenital heart disease patients can be extracted successfully; however, the procedure carries a risk of serious complications. Older lead age, ventricular leads, and polyurethane insulation were independent predictors of the decreased likelihood of an extraction by simple traction. (Circ Arrhythm Electrophysiol. 2010;3:437-444.)

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Section: Discussionmentioning

confidence: 99%

“…Several large series have investigated the different lead extraction techniques and their safety and efficacy in adult patients without CHD. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] However, data on lead extraction in pediatric and CHD patients remain limited. [15][16][17][18] …”

mentioning

confidence: 99%

Lead Extraction in Pediatric and Congenital Heart Disease Patients

Cecchin

Atallah

Walsh

et al. 2010

Circ: Arrhythmia and Electrophysiology

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“…Signifikante Trikuspidalklappeninsuffizienzen treten nach Extraktionen in 0,6-3,5% der Fälle auf [17,18]. In einer Studie zur Effektivität von Laser-Extraktionen bei Kindern und jungen Erwachsenen haben Moak et al unter anderem untersucht, wie sehr sich vorbestehende Trikuspidalklappeninsuffizienzen durch eine Extraktionsprozedur verändern.…”

Section: Was Sind Die Gefahren Bei Einer Sondenextraktion?unclassified

“…Marijon et al geben eine Inzidenz von klinisch relevanten Lungenembolien von 1,9% an, wobei 0,3% mit tödlichem Verlauf waren [17].…”

Section: Was Sind Die Gefahren Bei Einer Sondenextraktion?unclassified

Sondenextraktionen eine anspruchsvolle Aufgabe

2011

Cardiovasc Med

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Lead extraction, a demanding task: Every year approximately 1 0 000-15 000 pacemakerand ICD-leads are extracted worldwide with numbers continuing to rise. The increasing need for lead extractions may be explained by the evolution of pacemakerand ICD-implants during the last decade as well as by the widened spectrum of extraction devices and techniques. Last but not least, in 2009 the indications for transvenous lead extractions were broadened by the Heart Rhythm Society. Lead extraction are not simple operations at all, but instead can be very challenging with a recognisable risk profile. When carried out by specialised centres lead extractions may be performed with high success rates (>95%), and low complication rates (<2%) and mortality (<0.5%).

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“…Most commonly used was the device traction -with mechanical telescopic sheaths -steel, [6]. After the lead extraction, the remaining ones were assessed macroscopically in the available section and under fluoroscopy in the intravascular segment.…”

Section: Methodsmentioning

confidence: 99%