Safety and Efficacy of Transvenous Lead Extraction With a High-Frequency Excimer Laser ― A Single Center Experience ―
| Autor: | Mihoko Kawabata, Shingo Maeda, Yasuhiro Shirai, Kenzo Hirao, Yoshihide Takahashi, Masahiko Goya, Atsuhiko Yagishita, Takakatsu Yoshitake, Takeshi Sasaki, Shinya Shiohira, Masahiro Sekigawa, Kiko Lee |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_treatment 030204 cardiovascular system & hematology Single Center law.invention 03 medical and health sciences 0302 clinical medicine law medicine Humans 030212 general & internal medicine Major complication Lead (electronics) Aged Aged 80 and over Excimer laser business.industry Extraction (chemistry) General Medicine Middle Aged Laser Defibrillators Implantable Transvenous lead Equipment Failure Female Lasers Excimer Implant Cardiology and Cardiovascular Medicine Nuclear medicine business |
| Zdroj: | Circulation Journal. 82:2992-2997 |
| ISSN: | 1347-4820 1346-9843 |
| DOI: | 10.1253/circj.cj-18-0869 |
| Popis: | BACKGROUND Transvenous lead extractions have been performed using 40-Hz laser sheaths. Recently, a new 80-Hz laser sheath became available, but only a few reports have compared the effectiveness of the 40- and 80-Hz laser sheaths. Methods and Results: This study included 215 patients. Lead extractions using only laser sheaths were analyzed. The clinical characteristics, extraction parameters, and extraction tools were evaluated. The procedures were performed with 40-Hz sheaths in 150 patients (group 1: 270 leads) and 80-Hz sheaths in 65 (group 2: 99 leads). No statistically significant differences were observed in the clinical parameters except for sex. The mean implant duration was 95.3±86.0 and 78.2±56.8 months in groups 1 and 2, respectively (P=0.07). The respective mean laser time and number of laser pulses were 48.5±52.1 and 48.1±56.1 s (P=0.96) and 2,035.0±2,384.0 and 3,955.1±2,339.3 pulses (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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