2023
DOI: 10.1111/pace.14696
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Outcomes of transvenous lead extraction in octogenarians using bidirectional rotational mechanical sheaths

Abstract: BackgroundOutcomes of transvenous lead extraction (TLE) are well reported in the general population, However, data on safety, efficacy of TLE in octogenarians with a long lead dwell time, using powered extraction tools are limited. The aim of this multicenter study was to evaluate the safety, effectiveness of TLE in octogenarians using the bidirectional rotational mechanical sheaths and mid‐term outcome after TLE.MethodsThe study population comprised 83 patients (78.3% male; mean age 85 ± 3 years; [range 80–94… Show more

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Cited by 2 publications
(2 citation statements)
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“…In the results, long-term mortality is significantly higher in the older median-age CIED-infected population when compared to the non-infected population; actually, infection-related indications were different when compared to larger studies (68.9% in our study versus 46–57%) [ 15 , 16 , 17 ]. This finding may be because of the lower threshold for performing TLE in non-infected CIEDs, due to a potentially higher procedural risk in the older population since octogenarians are deemed as high-risk candidates for TLE; despite in previous little populations, the old age could not influence TLE effectiveness, being successfully performed [ 18 , 19 ].…”
Section: Discussionmentioning
confidence: 99%
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“…In the results, long-term mortality is significantly higher in the older median-age CIED-infected population when compared to the non-infected population; actually, infection-related indications were different when compared to larger studies (68.9% in our study versus 46–57%) [ 15 , 16 , 17 ]. This finding may be because of the lower threshold for performing TLE in non-infected CIEDs, due to a potentially higher procedural risk in the older population since octogenarians are deemed as high-risk candidates for TLE; despite in previous little populations, the old age could not influence TLE effectiveness, being successfully performed [ 18 , 19 ].…”
Section: Discussionmentioning
confidence: 99%
“…These findings are consistent with a recent report from Arabia et al [ 20 ], documenting that patients who perform TLE for CIED-related infection may exhibit a 30% mortality rate during a 6.5 median follow-up. Migliore et al [ 18 ] recently described long-term mortality in elderly patients undergoing TLE: the main indication for TLE was an infection in 84.3% of cases with an overall mortality rate of 29% during a mean follow-up of ≈2 years. Finally, Henrikson et al [ 21 ] described midterm mortality in a small population undergoing TLE for infectious indications, documenting a 30% mortality rate during the follow-up.…”
Section: Discussionmentioning
confidence: 99%