Safety and Efficacy of Excimer Laser Powered Lead Extractions in Obese Patients: A GALLERY Subgroup Analysis.

complications efficacy excimer laser obesity transvenous lead extraction

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
16 Jun 2023
Historique:
received: 19 05 2023
revised: 10 06 2023
accepted: 13 06 2023
medline: 28 6 2023
pubmed: 28 6 2023
entrez: 28 6 2023
Statut: epublish

Résumé

The incidence of cardiac implantable electronic device (CIED)-related complications, as well as the prevalence of obesity, is rising worldwide. Transvenous laser lead extraction (LLE) has grown into a crucial therapeutic option for patients with CIED-related complications but the impact of obesity on LLE is not well understood. All patients ( LLE in obese patients is as safe and effective as in other weight classes, if performed in experienced high-volume centers. Systemic infection remains the main cause of in-hospital mortality in obese patients.

Sections du résumé

BACKGROUND BACKGROUND
The incidence of cardiac implantable electronic device (CIED)-related complications, as well as the prevalence of obesity, is rising worldwide. Transvenous laser lead extraction (LLE) has grown into a crucial therapeutic option for patients with CIED-related complications but the impact of obesity on LLE is not well understood.
METHODS AND RESULTS RESULTS
All patients (
CONCLUSIONS CONCLUSIONS
LLE in obese patients is as safe and effective as in other weight classes, if performed in experienced high-volume centers. Systemic infection remains the main cause of in-hospital mortality in obese patients.

Identifiants

pubmed: 37373789
pii: jcm12124096
doi: 10.3390/jcm12124096
pmc: PMC10299542
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Front Cardiovasc Med. 2020 Nov 30;7:602179
pubmed: 33330664
J Am Coll Cardiol. 2012 Oct 16;60(16):1540-5
pubmed: 22999727
J Am Heart Assoc. 2019 Oct 15;8(20):e012253
pubmed: 31581876
BMC Med. 2022 Oct 24;20(1):404
pubmed: 36280863
J Clin Med. 2020 Jan 28;9(2):
pubmed: 32013032
Heart Rhythm. 2017 Dec;14(12):e503-e551
pubmed: 28919379
J Arrhythm. 2016 Aug;32(4):279-82
pubmed: 27588149
Eur J Cardiothorac Surg. 2017 May 1;51(5):902-905
pubmed: 28137751
Pacing Clin Electrophysiol. 2017 Mar;40(3):286-293
pubmed: 28084622
J Am Heart Assoc. 2017 Mar 8;6(3):
pubmed: 28275064
BMC Anesthesiol. 2015 Jul 31;15:112
pubmed: 26228844
J Cardiovasc Electrophysiol. 2022 Apr;33(4):654-663
pubmed: 35118743
Lancet. 2014 Aug 30;384(9945):766-81
pubmed: 24880830
Clin Microbiol Infect. 2015 Nov;21(11):1008.e1-8
pubmed: 26197212
Eur Heart J. 2017 Oct 21;38(40):2995-3005
pubmed: 28369414
Ann Surg. 2014 Mar;259(3):576-81
pubmed: 24263314
Cureus. 2022 Feb 11;14(2):e22119
pubmed: 35308730
Europace. 2018 Jul 1;20(7):1217
pubmed: 29566158
ISRN Obes. 2014 Feb 20;2014:638936
pubmed: 24701367
Pacing Clin Electrophysiol. 2008 Jun;31(6):736-52
pubmed: 18507548
J Am Coll Cardiol. 1999 May;33(6):1671-6
pubmed: 10334441
N Engl J Med. 2019 Dec 19;381(25):2440-2450
pubmed: 31851800
Heart. 2019 Feb;105(3):244-250
pubmed: 30279268
Int J Environ Res Public Health. 2019 Sep 29;16(19):
pubmed: 31569448
Europace. 2022 Oct 13;24(10):1627-1635
pubmed: 35718878
Interact Cardiovasc Thorac Surg. 2017 Jul 1;25(1):18-24
pubmed: 28329172
Europace. 2021 Sep 8;23(9):1462-1471
pubmed: 33615342
Periodontol 2000. 2016 Oct;72(1):13-8
pubmed: 27501488
J Am Coll Cardiol. 2010 Feb 9;55(6):579-86
pubmed: 20152562
Heart Rhythm. 2023 Feb;20(2):181-189
pubmed: 36240993
Crit Care. 2020 Aug 31;24(1):534
pubmed: 32867859
Pharmacoeconomics. 2015 Jul;33(7):673-89
pubmed: 25471927
Heart Rhythm. 2014 May;11(5):799-805
pubmed: 24444444
Ann Agric Environ Med. 2019 Jun 17;26(2):341-349
pubmed: 31232069

Auteurs

Niklas Schenker (N)

Department of Cardiology and Critical Care Medicine, Asklepios Klinik St. Georg, 20099 Hamburg, Germany.
Department of Cardiology, University Heart & Vascular Center Hamburg at the University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

Da-Un Chung (DU)

Department of Cardiology and Critical Care Medicine, Asklepios Klinik St. Georg, 20099 Hamburg, Germany.

Heiko Burger (H)

Department of Cardiac Surgery, Kerckhoff Klinik, 61231 Bad Nauheim, Germany.

Lukas Kaiser (L)

Department of Cardiology and Critical Care Medicine, Asklepios Klinik St. Georg, 20099 Hamburg, Germany.

Brigitte Osswald (B)

Division of Electrophysiological Surgery, Johanniter-Hospital Duisburg-Rheinhausen, 47228 Duisburg, Germany.

Volker Bärsch (V)

Department of Cardiology, St. Marien Krankenhaus, 57072 Siegen, Germany.

Herbert Nägele (H)

Department for Cardiac Insufficiency and Device Therapy, Albertinen-Hospital, 22457 Hamburg, Germany.

Michael Knaut (M)

Department of Cardiac Surgery, University Heart Center Dresden, 01307 Dresden, Germany.

Hermann Reichenspurner (H)

Department of Cardiovascular Surgery, University Heart & Vascular Center Hamburg at the University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

Nele Gessler (N)

Department of Cardiology and Critical Care Medicine, Asklepios Klinik St. Georg, 20099 Hamburg, Germany.

Stephan Willems (S)

Department of Cardiology and Critical Care Medicine, Asklepios Klinik St. Georg, 20099 Hamburg, Germany.

Christian Butter (C)

Department of Cardiology, Heart Center Brandenburg Bernau, 16321 Bernau, Germany.

Simon Pecha (S)

Department of Cardiovascular Surgery, University Heart & Vascular Center Hamburg at the University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

Samer Hakmi (S)

Department of Cardiology and Critical Care Medicine, Asklepios Klinik St. Georg, 20099 Hamburg, Germany.

Classifications MeSH