Predictors and outcomes of patients requiring repeat transvenous lead extraction of pacemaker and defibrillator leads

Autor:	Bradley Porter, Jonathan Johnson, Gazi Sadnan, Tom Jackson, Simon Claridge, Jessica Webb, Christopher A. Rinaldi, Nik Patel, Jaswinder Gill, Jonathan M. Behar, Justin Gould, Shoaib Hamid, Manav Sohal, Benjamin Sieniewicz
Rok vydání:	2018
Předmět:	Male Pacemaker Artificial medicine.medical_specialty Multivariate analysis 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans 030212 general & internal medicine Device Removal Aged Retrospective Studies business.industry Incidence (epidemiology) Extraction (chemistry) Univariate General Medicine Odds ratio Middle Aged Confidence interval Defibrillators Implantable Electrodes Implanted Transvenous lead Treatment Outcome Equipment Failure Female Cardiology and Cardiovascular Medicine business Lead extraction
Zdroj:	Pacing and Clinical Electrophysiology. 41:155-160
ISSN:	0147-8389
Popis:	BACKGROUND A proportion of patients who undergo an initial lead extraction procedure will require a second, repeat extraction. Data regarding this clinical entity are scarce and neither the predisposing risk factors for, nor outcomes from, these procedures have been described previously. We sought to determine the incidence, risk factors, and outcomes of repeat lead extraction. METHODS A database of extraction procedures from 2001 to 2015 was analyzed. Repeat extraction procedures were identified and the indication for extraction was dichotomized into infection and lead-related problems. Univariate and multivariate analyses were performed to identify predictors of repeat extraction. RESULTS 807 extraction procedures were identified in 755 patients of whom 6% required a repeat extraction. At multivariate analysis, only suffering a major complication at the initial extraction procedure (odds ratio [OR] 21.5, 95% confidence interval [CI] 2.69-171.92; P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::22353095649fd7e2219b13c2cfa2ba00 https://doi.org/10.1111/pace.13266 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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