The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction.
lead extraction complexity
lead extraction complications
lead-related venous obstruction
transvenous lead extraction
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
13 09 2021
13 09 2021
Historique:
received:
03
08
2021
revised:
04
09
2021
accepted:
09
09
2021
entrez:
28
9
2021
pubmed:
29
9
2021
medline:
3
11
2021
Statut:
epublish
Résumé
Little is known about lead-related venous stenosis/occlusion (LRVSO), and the influence of LRVSO on the complexity and outcomes of transvenous lead extraction (TLE) is debated in the literature. We performed a retrospective analysis of venograms from 2909 patients who underwent TLE between 2008 and 2021 at a high-volume center. Advanced LRVSO was more common in elderly men with a high Charlson comorbidity index. Procedure duration, extraction of superfluous leads, occurrence of any technical difficulty, lead-to-lead binding, fracture of the lead being extracted, need to use alternative approach and lasso catheters or metal sheaths were found to be associated with LRVSO. The presence of LRVSO had no impact on the number of major complications including TLE-related tricuspid valve damage. The achievement of complete procedural or clinical success did not depend on the presence of LRVSO. Long-term mortality, in contrast to periprocedural and short-term mortality, was significantly worse in the groups with LRSVO. LRVSO can be considered as an additional TLE-related risk factor. The effect of LRVSO on major complications including periprocedural mortality and on short-term mortality has not been established. However, LRVSO has been associated with poor long-term survival.
Sections du résumé
BACKGROUND
Little is known about lead-related venous stenosis/occlusion (LRVSO), and the influence of LRVSO on the complexity and outcomes of transvenous lead extraction (TLE) is debated in the literature.
METHODS
We performed a retrospective analysis of venograms from 2909 patients who underwent TLE between 2008 and 2021 at a high-volume center.
RESULTS
Advanced LRVSO was more common in elderly men with a high Charlson comorbidity index. Procedure duration, extraction of superfluous leads, occurrence of any technical difficulty, lead-to-lead binding, fracture of the lead being extracted, need to use alternative approach and lasso catheters or metal sheaths were found to be associated with LRVSO. The presence of LRVSO had no impact on the number of major complications including TLE-related tricuspid valve damage. The achievement of complete procedural or clinical success did not depend on the presence of LRVSO. Long-term mortality, in contrast to periprocedural and short-term mortality, was significantly worse in the groups with LRSVO.
CONCLUSIONS
LRVSO can be considered as an additional TLE-related risk factor. The effect of LRVSO on major complications including periprocedural mortality and on short-term mortality has not been established. However, LRVSO has been associated with poor long-term survival.
Identifiants
pubmed: 34574558
pii: ijerph18189634
doi: 10.3390/ijerph18189634
pmc: PMC8465436
pii:
doi:
Substances chimiques
Lead
2P299V784P
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
Pacing Clin Electrophysiol. 2002 Nov;25(11):1605-11
pubmed: 12494619
J Clin Med. 2020 Jan 28;9(2):
pubmed: 32013032
Europace. 2010 Jun;12(6):817-24
pubmed: 20348141
Pacing Clin Electrophysiol. 2007 Feb;30(2):199-206
pubmed: 17338716
Europace. 2021 Sep 8;23(9):1462-1471
pubmed: 33615342
Pacing Clin Electrophysiol. 2002 Sep;25(9):1301-6
pubmed: 12380764
Pacing Clin Electrophysiol. 2003 Aug;26(8):1649-52
pubmed: 12877695
Br J Surg. 1977 May;64(5):329-31
pubmed: 861469
Europace. 2014 Jan;16(1):81-7
pubmed: 23794614
Pacing Clin Electrophysiol. 1998 Dec;21(12):2621-30
pubmed: 9894653
J Cardiovasc Electrophysiol. 2004 Nov;15(11):1258-62
pubmed: 15574174
Acta Cardiol. 2017 Feb;72(1):61-67
pubmed: 28597736
Europace. 2007 May;9(5):328-32
pubmed: 17369270
Circ Arrhythm Electrophysiol. 2016 Sep;9(9):
pubmed: 27625167
Rom J Intern Med. 2017 Sep 26;55(3):139-144
pubmed: 28432849
Ann Thorac Surg. 1976 Aug;22(2):166-70
pubmed: 788660
Pacing Clin Electrophysiol. 1989 Feb;12(2):280-2
pubmed: 2468137
Heart Rhythm. 2017 Dec;14(12):e503-e551
pubmed: 28919379
Heart Rhythm. 2014 Mar;11(3):419-25
pubmed: 24315967
J Clin Med. 2020 May 08;9(5):
pubmed: 32397115
Heart Rhythm. 2009 Jul;6(7):1085-104
pubmed: 19560098
J Cardiovasc Med (Hagerstown). 2014 Aug;15(8):668-73
pubmed: 24850500
Kardiol Pol. 2020 Dec 23;78(12):1206-1214
pubmed: 33078921
Int J Environ Res Public Health. 2021 Feb 14;18(4):
pubmed: 33672931
Am Heart J. 2001 May;141(5):813-6
pubmed: 11320371
Pacing Clin Electrophysiol. 1998 Jun;21(6):1192-5
pubmed: 9633060
Arq Bras Cardiol. 2018 Nov;111(5):686-696
pubmed: 30281686
Pacing Clin Electrophysiol. 1997 Aug;20(8 Pt 1):1902-9
pubmed: 9272526
Clin Physiol Funct Imaging. 2021 Jan;41(1):25-41
pubmed: 32949059
JACC Clin Electrophysiol. 2019 Feb;5(2):174-182
pubmed: 30784687
Europace. 2004 Jan;6(1):25-31
pubmed: 14697723
Heart Rhythm. 2018 Nov;15(11):1655-1663
pubmed: 29803849
Echocardiography. 2020 Apr;37(4):601-611
pubmed: 32154950
Europace. 2018 Jul 1;20(7):1217
pubmed: 29566158
Europace. 2014 Dec;16(12):1795-9
pubmed: 24948591