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

Complication Female sex Safety outcomes Sex differences Transvenous lead extraction

Journal

Heart rhythm O2
ISSN: 2666-5018
Titre abrégé: Heart Rhythm O2
Pays: United States
ID NLM: 101768511

Informations de publication

Date de publication:
Oct 2023
Historique:
medline: 8 11 2023
pubmed: 8 11 2023
entrez: 8 11 2023
Statut: epublish

Résumé

Existing data on the impact of sex differences on transvenous lead extraction (TLE) outcomes in cardiac device patients are limited. The purpose of this study was to evaluate the safety and efficacy of mechanical TLE in female patients. A retrospective evaluation was performed on 3051 TLE patients (group 1: female; group 2: male) from a single tertiary referral center. All individuals received treatment using single sheath mechanical dilation and various venous approaches as required. Our analysis included 3051 patients (group 1: 750; group 2: 2301), with a total of 5515 leads handled with removal. Female patients were younger, had a higher left ventricular ejection fraction, and lower prevalences of coronary artery disease and diabetes mellitus. Infection was more common in male patients, whereas lead malfunction or abandonment were more frequent in female patients. Radiologic success was lower in female patients (95.8% vs 97.5%; TLE using unpowered simple mechanical sheaths in female patients is safe and effective, but is associated with lower radiologic success and higher complication rates and mortality than in males. This finding underscores the importance of recognizing sex differences in TLE outcomes.

Sections du résumé

Background UNASSIGNED
Existing data on the impact of sex differences on transvenous lead extraction (TLE) outcomes in cardiac device patients are limited.
Objective UNASSIGNED
The purpose of this study was to evaluate the safety and efficacy of mechanical TLE in female patients.
Methods UNASSIGNED
A retrospective evaluation was performed on 3051 TLE patients (group 1: female; group 2: male) from a single tertiary referral center. All individuals received treatment using single sheath mechanical dilation and various venous approaches as required.
Results UNASSIGNED
Our analysis included 3051 patients (group 1: 750; group 2: 2301), with a total of 5515 leads handled with removal. Female patients were younger, had a higher left ventricular ejection fraction, and lower prevalences of coronary artery disease and diabetes mellitus. Infection was more common in male patients, whereas lead malfunction or abandonment were more frequent in female patients. Radiologic success was lower in female patients (95.8% vs 97.5%;
Conclusion UNASSIGNED
TLE using unpowered simple mechanical sheaths in female patients is safe and effective, but is associated with lower radiologic success and higher complication rates and mortality than in males. This finding underscores the importance of recognizing sex differences in TLE outcomes.

Identifiants

pubmed: 37936665
doi: 10.1016/j.hroo.2023.09.002
pii: S2666-5018(23)00221-0
pmc: PMC10626182
doi:

Types de publication

Journal Article

Langues

eng

Pagination

625-631

Informations de copyright

© 2023 Heart Rhythm Society. Published by Elsevier Inc.

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Auteurs

Luca Segreti (L)

Department of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Maria Grazia Bongiorni (MG)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Valentina Barletta (V)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Matteo Parollo (M)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Andrea Di Cori (A)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Federico Fiorentini (F)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Mario Giannotti Santoro (M)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Raffaele De Lucia (R)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Stefano Viani (S)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Gino Grifoni (G)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Luca Paperini (L)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Ezio Sodati (E)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Lorenzo Mazzocchetti (L)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Antonio Maria Canu (AM)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Giulio Zucchelli (G)

Second Division of Cardiovascular Diseases, Cardiac and Thoracic Department, New Santa Chiara Hospital, University of Pisa, Pisa, Italy.

Classifications MeSH