Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads
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Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads. / Pecha, Simon; Kennergren, Charles; Yildirim, Yalin; Gosau, Nils; Aydin, Ali; Willems, Stephan; Treede, Hendrik; Reichenspurner, Hermann; Hakmi, Samer.
in: PLOS ONE, Jahrgang 11, Nr. 4, 2016, S. e0153651.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads
AU - Pecha, Simon
AU - Kennergren, Charles
AU - Yildirim, Yalin
AU - Gosau, Nils
AU - Aydin, Ali
AU - Willems, Stephan
AU - Treede, Hendrik
AU - Reichenspurner, Hermann
AU - Hakmi, Samer
PY - 2016
Y1 - 2016
N2 - BACKGROUND: Implantation of coronary sinus (CS) leads may be a difficult procedure due to different vein anatomies and a possible lead dislodgement. The mode of CS lead fixation has changed and developed in recent years.OBJECTIVES: We compared the removal procedures of active and passive fixation leads.METHODS: Between January 2009 and January 2014, 22 patients at our centre underwent CS lead removal, 6 active and 16 passive fixation leads were attempted using simple traction or lead locking devices with or without laser extraction sheaths. Data on procedural variables and success rates were collected and retrospectively analyzed.RESULTS: The mean patient age was 67.2 ± 9.8 years, and 90.9% were male. The indication for lead removal was infection in all cases. All active fixation leads were Medtronic® Attain StarFix™ Model 4195 (Medtronic Inc., Minneapolis, MN, USA). The mean time from implantation for the active and passive fixation leads was 9.9 ± 11.7 months (range 1.0-30.1) and 48.7 ± 33.6 months (range 5.7-106.4), respectively (p = 0.012). Only 3 of 6 StarFix leads were successfully removed (50%) compared to 16 of 16 (100%) of the passive fixation CS leads (p = 0.013). No death or complications occurred during the 30-day follow-up.CONCLUSION: According to our experience, removal of the Starfix active fixation CS leads had a higher procedural failure rate compared to passive.
AB - BACKGROUND: Implantation of coronary sinus (CS) leads may be a difficult procedure due to different vein anatomies and a possible lead dislodgement. The mode of CS lead fixation has changed and developed in recent years.OBJECTIVES: We compared the removal procedures of active and passive fixation leads.METHODS: Between January 2009 and January 2014, 22 patients at our centre underwent CS lead removal, 6 active and 16 passive fixation leads were attempted using simple traction or lead locking devices with or without laser extraction sheaths. Data on procedural variables and success rates were collected and retrospectively analyzed.RESULTS: The mean patient age was 67.2 ± 9.8 years, and 90.9% were male. The indication for lead removal was infection in all cases. All active fixation leads were Medtronic® Attain StarFix™ Model 4195 (Medtronic Inc., Minneapolis, MN, USA). The mean time from implantation for the active and passive fixation leads was 9.9 ± 11.7 months (range 1.0-30.1) and 48.7 ± 33.6 months (range 5.7-106.4), respectively (p = 0.012). Only 3 of 6 StarFix leads were successfully removed (50%) compared to 16 of 16 (100%) of the passive fixation CS leads (p = 0.013). No death or complications occurred during the 30-day follow-up.CONCLUSION: According to our experience, removal of the Starfix active fixation CS leads had a higher procedural failure rate compared to passive.
KW - Aged
KW - Cardiac Resynchronization Therapy Devices
KW - Coronary Sinus/surgery
KW - Device Removal/methods
KW - Electrodes, Implanted
KW - Female
KW - Humans
KW - Male
KW - Pacemaker, Artificial
KW - Retrospective Studies
KW - Treatment Outcome
U2 - 10.1371/journal.pone.0153651
DO - 10.1371/journal.pone.0153651
M3 - SCORING: Journal article
C2 - 27119368
VL - 11
SP - e0153651
JO - PLOS ONE
JF - PLOS ONE
SN - 1932-6203
IS - 4
ER -