Extraction of lumen less pacing leads from the His Bundle and left bundle branch area - outcomes of the high volume center.
His bundle pacing
conduction system pacing
lead extraction
left bundle branch area pacing
Journal
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
ISSN: 1532-2092
Titre abrégé: Europace
Pays: England
ID NLM: 100883649
Informations de publication
Date de publication:
13 Aug 2024
13 Aug 2024
Historique:
received:
22
04
2024
received:
04
06
2024
accepted:
12
08
2024
medline:
13
8
2024
pubmed:
13
8
2024
entrez:
13
8
2024
Statut:
aheadofprint
Résumé
The application of conduction system pacing (CSP) in clinical practice is growing, and the need for lead extraction will also increase. The data on outcomes and safety of CSP lead extraction are limited. The aim of this study was to assess procedural outcomes and safety of CSP lead removal. Forty-seven patients from the EXTRACT Registry with the indication for CSP lead removal were enrolled in the study conducted at the Department of Electrocardiology in Katowice, Poland. Extraction technique, outcomes, safety, and complication were evaluated. Forty-three (91.5%) leads were successfully removed, and 41 (87.2%) were removed with traction only. The dwelling time of 28 extracted leads was longer than one year, and the oldest extracted lead was implanted for 89 months. Seven (14.9%) leads were removed from the left bundle branch area and 36 from the His bundle. Transient complete AV block occurred during the procedure in two patients. In 27 out of 31 attempts (87.1%), new CSP leads were implanted: nine (33.3%) His bundle pacing leads and 18 (66.7%) left bundle branch area pacing leads. The CSP lead extraction is safe and feasible with a low complication rate and high rate of CSP lead reimplantation.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
The application of conduction system pacing (CSP) in clinical practice is growing, and the need for lead extraction will also increase. The data on outcomes and safety of CSP lead extraction are limited. The aim of this study was to assess procedural outcomes and safety of CSP lead removal.
METHODS
METHODS
Forty-seven patients from the EXTRACT Registry with the indication for CSP lead removal were enrolled in the study conducted at the Department of Electrocardiology in Katowice, Poland. Extraction technique, outcomes, safety, and complication were evaluated.
RESULTS
RESULTS
Forty-three (91.5%) leads were successfully removed, and 41 (87.2%) were removed with traction only. The dwelling time of 28 extracted leads was longer than one year, and the oldest extracted lead was implanted for 89 months. Seven (14.9%) leads were removed from the left bundle branch area and 36 from the His bundle. Transient complete AV block occurred during the procedure in two patients. In 27 out of 31 attempts (87.1%), new CSP leads were implanted: nine (33.3%) His bundle pacing leads and 18 (66.7%) left bundle branch area pacing leads.
CONCLUSION
CONCLUSIONS
The CSP lead extraction is safe and feasible with a low complication rate and high rate of CSP lead reimplantation.
Identifiants
pubmed: 39137240
pii: 7732937
doi: 10.1093/europace/euae213
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.