Prolonged lead dwell time and lead burden predict bailout transfemoral lead extraction

Autor:	Jaswinder Gill, Christopher A. Rinaldi, Anoop Shetty, Bradley Porter, Baldeep S. Sidhu, Benjamin Sieniewicz, Justin Gould, Steven Williams, Paolo Bosco, Thomas Teall, Christopher Blauth
Rok vydání:	2019
Předmět:	Pacemaker Artificial medicine.medical_specialty Time Factors medicine.medical_treatment 030204 cardiovascular system & hematology bailout femoral extraction 03 medical and health sciences 0302 clinical medicine Risk Factors Humans Medicine Prospective Studies Registries 030212 general & internal medicine Major complication Thoracotomy Lead (electronics) Vein Device Removal Aged business.industry Mortality rate transvenous lead extraction Equipment Design General Medicine Femoral Vein Middle Aged Defibrillators Implantable Surgery Dwell time medicine.anatomical_structure Equipment Failure Implant Cardiology and Cardiovascular Medicine business femoral lead extraction Lead extraction
Zdroj:	Gould, J, Sidhu, B S, Porter, B, Sieniewicz, B J, Teall, T, Williams, S E, Shetty, A, Bosco, P, Blauth, C, Gill, J & Rinaldi, C A 2019, ' Prolonged lead dwell time and lead burden predict bailout transfemoral lead extraction ', PACE-Pacing and Clinical Electrophysiology, vol. 42, no. 10, pp. 1355-1364 . https://doi.org/10.1111/pace.13791
ISSN:	1540-8159 0147-8389
DOI:	10.1111/pace.13791
Popis:	Background: Transvenous lead extraction (TLE) may be performed by superior approach using the original implant vein or via a femoral approach; however, limited comparative data exists. We compare outcomes between femoral versus nonfemoral TLE approaches and determine predictors of bailout transfemoral lead extraction in patients undergoing initial TLE via the original implant vein by a superior approach. Methods: All consecutive TLEs between October 2000 and March 2018 were prospectively collected (n = 1052). Patients were dichotomized into femoral (n = 118) and nonfemoral (n = 934) groups. Results: Demographics were balanced between femoral vs nonfemoral groups. Patients in the femoral group had significantly higher mean lead dwell times (11.6 ± 9.7 vs 6.6 ± 6.6 years, P
Databáze:	OpenAIRE
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