Extraction of lumenless pacing leads from the His bundle and left bundle branch area: outcomes of the high-volume centre.

Autor:	Gardas R; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland.; Department of Electrocardiology, Leszek Giec Upper-Silesian Medical Centre of the Silesian Medical University in Katowice, Ziolowa 45/47, Katowice 40-635, Poland., Loboda D; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland.; Department of Electrocardiology, Leszek Giec Upper-Silesian Medical Centre of the Silesian Medical University in Katowice, Ziolowa 45/47, Katowice 40-635, Poland., Biernat J; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Soral T; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Kulesza P; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Gladysz-Wanha S; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Joniec M; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Sajdok M; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Zub K; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland., Golba KS; Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland.; Department of Electrocardiology, Leszek Giec Upper-Silesian Medical Centre of the Silesian Medical University in Katowice, Ziolowa 45/47, Katowice 40-635, Poland.
Jazyk:	angličtina
Zdroj:	Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2024 Aug 30; Vol. 26 (9).
DOI:	10.1093/europace/euae213
Abstrakt:	Aims: The application of conduction system pacing (CSP) in clinical practice is growing, and the need for lead extraction will also increase. The data on outcomes and safety of CSP lead extraction are limited. The aim of this study was to assess procedural outcomes and safety of CSP lead removal. Methods and Results: Forty-seven patients from the EXTRACT Registry with the indication for CSP lead removal were enrolled in the study conducted at the Department of Electrocardiology in Katowice, Poland. Extraction technique, outcomes, safety, and complication were evaluated. Forty-three (91.5%) leads were successfully removed, and 41 (87.2%) were removed with traction only. The dwelling time of 28 extracted leads was longer than 1 year, and the oldest extracted lead was implanted for 89 months. Seven (14.9%) leads were removed from the left bundle branch (LBB) area and 36 from the His bundle (HB). Transient complete atrioventricular block occurred during the procedure in two patients. In 27 out of 31 attempts (87.1%), new CSP leads were implanted: nine (33.3%) HB pacing leads and 18 (66.7%) LBB area pacing leads. Conclusion: The CSP lead extraction is safe and feasible with a low complication rate and high rate of CSP lead reimplantation. Competing Interests: Conflict of interest: none declared. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze:	MEDLINE
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