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Percutaneous Extraction of Transvenous Permanent PacemakerDefibrillator Leads
Joint Authors
Mantziari, Lilian
Karvounis, Charalambos
Paraskevaidis, Stylianos
Vassilikos, Vassilios
Konstantinou, Dimitrios
Theofilogiannakos, Efstratios
Galitsianos, Ioannis
Megarisiotou, Athanasia
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-26
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Widespread use of cardiovascular implantable electronic devices has inevitably increased the need for lead revision/replacement.
We report our experience in percutaneous extraction of transvenous permanent pacemaker/defibrillator leads.
Methods.
Thirty-six patients admitted to our centre from September 2005 through October 2012 for percutaneous lead extraction were included.
Lead removal was attempted using Spectranetics traction-type system (Spectranetics Corp., Colorado, CO, USA) and VascoExtor countertraction-type system (Vascomed GmbH, Weil am Rhein, Germany).
Results.
Lead extraction was attempted in 59 leads from 36 patients (27 men), mean ± SD age 61±5 years, with permanent pacemaker (n=25), defibrillator (n=8), or cardiac resynchronisation therapy (n=3) with a mean ± SD implant duration of 50±23 months.
The indications for lead removal included pocket infection (n=23), endocarditis (n=2), and ventricular (n=10) and atrial lead dysfunction (n=1).
Traction device was used for 33 leads and countertraction device for 26 leads.
Mean ± SD fluoroscopy time was 4±2 minutes/lead for leads implanted <48 months (n=38) and 7±3 minutes/lead for leads implanted >48 months (n=21), P=0.03.
Complete procedural success rate was 91.7% and clinical procedural success rate was 100%, while lead procedural success rate was 95%.
Conclusions.
In conclusion, percutaneous extraction of transvenous permanent pacemaker/defibrillator leads using dedicated removal tools is both feasible and safe.
American Psychological Association (APA)
Paraskevaidis, Stylianos& Konstantinou, Dimitrios& Vassilikos, Vassilios& Theofilogiannakos, Efstratios& Mantziari, Lilian& Megarisiotou, Athanasia…[et al.]. 2014. Percutaneous Extraction of Transvenous Permanent PacemakerDefibrillator Leads. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-510684
Modern Language Association (MLA)
Paraskevaidis, Stylianos…[et al.]. Percutaneous Extraction of Transvenous Permanent PacemakerDefibrillator Leads. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-510684
American Medical Association (AMA)
Paraskevaidis, Stylianos& Konstantinou, Dimitrios& Vassilikos, Vassilios& Theofilogiannakos, Efstratios& Mantziari, Lilian& Megarisiotou, Athanasia…[et al.]. Percutaneous Extraction of Transvenous Permanent PacemakerDefibrillator Leads. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-510684
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510684