Female Gender, Laser Sheath Use and Operator Skill Drive the Success and Complication Rates of Cardiac Device Lead Extraction: An Acap Registry Analysis

Pierce, Matthew; Pratap, Balaji; Pamidimukala, Chaithanya K; Bastawrose, Joseph; Lingannan, Archana; Panneerselvam, Narmadha; Gurram, Adilaxmi; Patel, Dipen; Kalamkar, Prachi; Usmani, Rishad; Umali, Tad; Herzog, Eyal; Aziz, Emad F.

doi:10.1016/s0735-1097(14)60381-8

Cited by 6 publications

(3 citation statements)

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confidence: 93%

“…28 Our results confirmed this previously reported finding. 28 Although women are undergoing fewer TLR procedures than men, this sex difference in complications argues for further prospective clinical investigation. As suggested in large single-center studies and in the LEXICON study, we also report that TLRs associated with device infections have higher complication rates.…”

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confidence: 93%

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Trends in Use and Adverse Outcomes Associated with Transvenous Lead Removal in the United States

et al. 2015

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Background— Transvenous lead removal (TLR) has made significant progress with respect to innovation, efficacy, and safety. However, limited data exist regarding trends in use and adverse outcomes outside the centers of considerable experience for TLR. The aim of our study was to examine use patterns, frequency of adverse events, and influence of hospital volume on complications. Methods and Results— Using the Nationwide Inpatient Sample, we identified 91 890 TLR procedures. We investigated common complications including pericardial complications (hemopericardium, cardiac tamponade, or pericardiocentesis), pneumothorax, stroke, vascular complications (consisting of hemorrhage/hematoma, incidents requiring surgical repair, and accidental arterial puncture), and in-hospital deaths described with TLR, defining them by the validated International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code. We specifically assessed in-hospital death (2.2%), hemorrhage requiring transfusion (2.6%), vascular complications (2.0%), pericardial complications (1.4%), open heart surgery (0.2%), and postoperative respiratory failure (2.4%). Independent predictors of complications were female sex and device infections. Hospital volume was not independently associated with higher complications. There was a significant rise in overall complication rates over the study period. Conclusions— The overall complication rate in patients undergoing TLR was higher than previously reported. Female sex and device infections are associated with higher complications. Hospital volume was not associated with higher complication rates. The number of adverse events in the literature likely underestimates the actual number of complications associated with TLR.

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confidence: 93%

supporting

confidence: 93%

Trends in Use and Adverse Outcomes Associated with Transvenous Lead Removal in the United States

et al. 2015

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“…More specific to the current case report, female gender and implant duration are risk factors for major complications and should factor strongly into the decision for lead removal. 2,4,5 After 20 years and multiple revisions, the degree of fibrotic attachment of the lead to the venous lumen was likely to be extensive in this patient. Opposing factors cloud the decision-making process in this case.…”

mentioning

confidence: 85%

Nonfunctional pacemaker leads: To remove or not to remove, that is the multifactorial question

Chen

Atluri

2016

The Journal of Thoracic and Cardiovascular Surgery

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Clinical Application of the Coronary Artery Calcium Score and Implications for Cardiovascular Disease Prevention

Morris

Shapiro

2019

Contemporary Medical Imaging

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Female Gender, Laser Sheath Use and Operator Skill Drive the Success and Complication Rates of Cardiac Device Lead Extraction: An Acap Registry Analysis

Cited by 6 publications

References 0 publications

Trends in Use and Adverse Outcomes Associated with Transvenous Lead Removal in the United States

Trends in Use and Adverse Outcomes Associated with Transvenous Lead Removal in the United States

Nonfunctional pacemaker leads: To remove or not to remove, that is the multifactorial question

Clinical Application of the Coronary Artery Calcium Score and Implications for Cardiovascular Disease Prevention

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