Discussing the Prognosis and Complications of Transvenous Lead Extraction in Patients With Cardiac Implantable Electronic Devices (CIED): A Systematic Review.

Autor:	Salib K; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Dardari L; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Taha M; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Dahat P; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Toriola S; Pathology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Satnarine T; Pediatrics, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Zohara Z; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Adelekun A; Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Seffah KD; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.; Internal Medicine, Piedmont Athens Regional Medical, Athens, GRC., Khan S; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Sep 11; Vol. 15 (9), pp. e45048. Date of Electronic Publication: 2023 Sep 11 (Print Publication: 2023).
DOI:	10.7759/cureus.45048
Abstrakt:	An increase in cardiovascular implantable electronic devices (CIEDs) and undoubtedly the complications brought on by these devices coincide with an increase in cardiovascular disorders, particularly heart rhythm abnormalities. The safest procedure to extract these devices is transvenous lead extraction (TLE). Thus, this systematic review aimed to summarize the possibility of success rates and the common complications that could arise during the surgery. Full-text publications in PubMed, MEDLINE, PubMed Central (PMC), and ScienceDirect were used in this study, which was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Seventeen studies were reviewed for this systematic review after being screened by title, abstract, full-text availability, and quality appraisal assessment. Heart and vascular tears, along with tricuspid regurgitation (TR), are common adverse events. Pulmonary embolism, hemothorax, hemopericardium, and ghost appearance in echo are less common consequences. In addition, the longer the dwelling time of the leads, the greater the chance of infection due to an increase in lead adhesions and fibrous tissue that has made the procedure unsafe as time passes. However, we concluded that TLE is a successful method across all age groups with an excellent probability of clinical and procedural success in a majority of studies. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Salib et al.)
Databáze:	MEDLINE
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