Safety and effectiveness of transvenous lead extraction in elderly patients

Kutarski, Andrzej; Polewczyk, Anna; Boczar, Krzysztof; Ząbek, Andrzej

doi:10.5603/cj.a2013.0084

Cited by 24 publications

(30 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results are similar to previously published reports on the safety and efficacy of LE in octogenarians …”

Section: Discussionsupporting

confidence: 92%

“…7 In a multicenter study from Poland, outcomes of LE in more than 1,000 patients (192 octogenarians) were reported and again MAEs were similar in the two cohorts (1.56% vs 1.51%, P = ns). 11 A common finding to all of the above-mentioned studies and to our study is that the indication for LE in octogenarians is more commonly related to CIED-related infection, whereas younger patients tend to undergo extraction for lead failure or noninfectious indications more commonly than the older cohort. This likely reflects the real-world tendency to pursue extraction among elderly individuals when absolutely…”

Section: Discussionsupporting

confidence: 73%

“…In a multicenter study from Poland, outcomes of LE in more than 1,000 patients (192 octogenarians) were reported and again MAEs were similar in the two cohorts (1.56% vs 1.51%, P = ns) …”

Section: Discussionmentioning

confidence: 90%

See 2 more Smart Citations

Procedural outcomes and long‐term survival following lead extraction in octogenarians

El‐Chami

Sayegh

Patel

et al. 2017

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

“…These results are similar to previously published reports on the safety and efficacy of LE in octogenarians …”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 73%

See 1 more Smart Citation

Procedural outcomes and long‐term survival following lead extraction in octogenarians

El‐Chami

Sayegh

Patel

et al. 2017

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

“…In our large single center analysis, the rate of clinical success was high, without significant differences between octogenarian and nonoctogenarian patients. This is in line with the literature, where a comparable success rate was found in patients treated with MD, 5 with laser extraction, 6 and with both techniques, irrespective of older age 14,15 . In the ELECTRA registry, age was not actually a predictor of clinical success 12 .…”

Section: Discussionsupporting

confidence: 88%

“…However, there is no complete agreement on how to manage elderly patients, due to their potentially worse general conditions, comorbidities, and frailty. There is currently no evidence that TLE is a higher risk procedure when performed in the elderly, 4‐6 and there are also limited data about this group of patients.…”

Section: Introductionmentioning

confidence: 99%

Transvenous lead extraction: Efficacy and safety of the procedure in octogenarian patients

Santoro

Segreti

Zucchelli

et al. 2020

Pacing Clinical Electrophis

View full text Add to dashboard Cite

Background: Managing elderly patients with infection or malfunction deriving from a cardiac implantable electronic device (CIED) may be challenging. The aim of this study was to evaluate safety and efficacy of mechanical transvenous lead extraction (TLE) in elderly patients. Methods:Patients who had undergone TLE in single tertiary referral center were divided in two groups (group 1: ≥ 80 years; group 2: < 80 years) and their acute and chronic outcomes were compared. All patients were treated with manual traction or mechanical dilatation.Results: Our analysis included 1316 patients (group 1: 202; group 2: 1114 patients), with a total of 2513 leads extracted. Group 1 presented more comorbidities, more pacemakers than implantable cardioverter-defibrillators, whereas the dwelling time of the oldest lead and the number of leads were similar, irrespective of patient's age. In group 1, the radiological success rate for lead was higher (99.0% vs 95.9%; P < .001) and the fluoroscopy time lower (13.0 vs 15.0 min; P = .04) than in group 2. Clinical success was reached in 1273 patients (96.7%), without significant differences between groups (group 1: 98.0% vs group 2: 96.4%; P = .36). Major complications occurred in 10 patients (0.7%) without significative differences between patients with more or less than 80 years (group 1: 1.5% vs group 2: 0.6%; P = .24) and with no procedure-related deaths in elderly group. Conclusions:Mechanical TLE in elderly patients is a safe and effective procedure. In the over-80s, a comparable incidence of major complications with younger patients was observed, with at least a similar efficacy of the procedure.

show abstract

Managing infected cardiovascular implantable electronic devices

Manolis¹,

Melita

2016

Continuing Cardiol Educ

View full text Add to dashboard Cite

The number of cardiac implantable electronic device (CIED) implants is growing; unfortunately, the rate of device infections is also rising, outpacing the increase in device implantation and paralleling the complexity of current CIEDs and CIED recipients, incurring high morbidity and mortality, long hospital stays, and increased financial cost. For either pocket or lead infection, percutaneous complete removal of the infected device and lead system combined with prolonged antibiotic treatment is the standard approach to patient management. A variety of mechanical and/or laser‐assisted techniques and tools are employed with high success rates in experienced centers. Surgery is reserved for cases with very large vegetations, need for other concomitant cardiac surgery or for failed or complicated percutaneous approach. Following removal of an infected CIED, the need for reimplantation of a new device is individualized, although the timing is variable, mainly based on the absence of signs of continued infection. In general, CIED‐related infective endocarditis and the presence of comorbid conditions are associated with increased mortality. These and other important relevant issues of contemporary management of patients with infected CIEDs are herein reviewed. Answer questions and earn CME: https://wileyhealthlearning.com/Activity2/4596336/Activity.aspx

show abstract

Safety and effectiveness of transvenous lead extraction in elderly patients

Abstract: (Cardiol J 2014; 21, 1: 47-52)

Cited by 24 publications

References 12 publications

Procedural outcomes and long‐term survival following lead extraction in octogenarians

Procedural outcomes and long‐term survival following lead extraction in octogenarians

Transvenous lead extraction: Efficacy and safety of the procedure in octogenarian patients

Managing infected cardiovascular implantable electronic devices

Contact Info

Product

Resources

About