Risk Factors Predicting Complications of Transvenous Lead Extraction
Joint Authors
Tomasik, Andrzej
Jacheć, Wojciech
Polewczyk, Anna
Polewczyk, Maciej
Janion, Marianna
Kutarski, Andrzej
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-18
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Objective.
Transvenous lead extraction (TLE) is the gold standard in the management of patients with cardiac implantable electronic devices (CIED)-related complications.
Knowledge of TLE risk factors is very important.
Methods.
Clinical data from 1915 patients undergoing TLE at the Reference Center between 2006 and 2015 were analyzed.
The effects of clinical and procedure-related factors on the development of major (MJC) and minor (MIC) complications and survival after TLE were evaluated.
Results.
MJC were caused mainly by lead implant duration, presence of abandoned leads, multiple procedures preceding TLE, and any technical problem during TLE.
Of clinical factors female gender and anemia increased the risk of MJC.
MIC were reported in patients with the first implantation of CIED under the age of 30 and after sternotomy analysis of 30-day survival after procedure demonstrated a significant effect of clinical factors and lead dwell times, previous unsuccessful TLE, and MIC.
Conclusions.
Efficacy and safety of TLE depend mainly on procedure-related factors.
This knowledge is essential for preventing MJC and MIC.
Mortality at 30 days following TLE is mainly associated with the clinical factors; however, there was also a significant effect of lead dwell time and periprocedural complications on the short-term prognosis of patients undergoing TLE.
American Psychological Association (APA)
Jacheć, Wojciech& Polewczyk, Anna& Polewczyk, Maciej& Tomasik, Andrzej& Janion, Marianna& Kutarski, Andrzej. 2018. Risk Factors Predicting Complications of Transvenous Lead Extraction. BioMed Research International،Vol. 2018, no. 2018, pp.1-14.
https://search.emarefa.net/detail/BIM-1129353
Modern Language Association (MLA)
Jacheć, Wojciech…[et al.]. Risk Factors Predicting Complications of Transvenous Lead Extraction. BioMed Research International No. 2018 (2018), pp.1-14.
https://search.emarefa.net/detail/BIM-1129353
American Medical Association (AMA)
Jacheć, Wojciech& Polewczyk, Anna& Polewczyk, Maciej& Tomasik, Andrzej& Janion, Marianna& Kutarski, Andrzej. Risk Factors Predicting Complications of Transvenous Lead Extraction. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-14.
https://search.emarefa.net/detail/BIM-1129353
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129353