The GermAn Laser Lead Extraction RegistrY: GALLERY
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The GermAn Laser Lead Extraction RegistrY: GALLERY. / Pecha, Simon; Burger, Heiko; Chung, Da-Un; Möller, Viviane; Madej, Tomas; Maali, Alaa; Osswald, Brigitte; De Simone, Raffaele; Monsefi, Nadeja; Ziaukas, Virgilijus; Erler, Stefan; Elfarra, Hamdi; Perthel, Mathias; Wehbe, Mahmoud S; Ghaffari, Naser; Sandhaus, Tim; Busk, Henning; Schmitto, Jan D; Bärsch, Volker; Easo, Jerry; Albert, Marc; Treede, Hendrik; Nägele, Herbert; Zenker, Dieter; Hegazy, Yasser; Ahmadi, Donja; Gessler, Nele; Ehrlich, Wolfgang; Romano, Gabriele; Knaut, Michael; Reichenspurner, Hermann; Willems, Stephan; Butter, Christian; Hakmi, Samer.
in: EUROPACE, Jahrgang 24, Nr. 10, 13.10.2022, S. 1627-1635.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The GermAn Laser Lead Extraction RegistrY: GALLERY
AU - Pecha, Simon
AU - Burger, Heiko
AU - Chung, Da-Un
AU - Möller, Viviane
AU - Madej, Tomas
AU - Maali, Alaa
AU - Osswald, Brigitte
AU - De Simone, Raffaele
AU - Monsefi, Nadeja
AU - Ziaukas, Virgilijus
AU - Erler, Stefan
AU - Elfarra, Hamdi
AU - Perthel, Mathias
AU - Wehbe, Mahmoud S
AU - Ghaffari, Naser
AU - Sandhaus, Tim
AU - Busk, Henning
AU - Schmitto, Jan D
AU - Bärsch, Volker
AU - Easo, Jerry
AU - Albert, Marc
AU - Treede, Hendrik
AU - Nägele, Herbert
AU - Zenker, Dieter
AU - Hegazy, Yasser
AU - Ahmadi, Donja
AU - Gessler, Nele
AU - Ehrlich, Wolfgang
AU - Romano, Gabriele
AU - Knaut, Michael
AU - Reichenspurner, Hermann
AU - Willems, Stephan
AU - Butter, Christian
AU - Hakmi, Samer
N1 - © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.
PY - 2022/10/13
Y1 - 2022/10/13
N2 - AIMS: The GermAn Laser Lead Extraction RegistrY: GALLERY is a retrospective, national multicentre registry, investigating the safety and efficacy of laser lead extraction procedures in Germany.METHODS AND RESULTS: Twenty-four German centres that are performing laser lead extraction have participated in the registry. All patients, treated with a laser lead extraction procedure between January 2013 and March 2017, were consecutively enrolled. Safety and efficacy of laser lead extraction were investigated. A total number of 2524 consecutive patients with 6117 leads were included into the registry. 5499 leads with a median lead dwell time of 96 (62-141) months were treated. The mean number of treated leads per patient was 2.18 ± 1.02. The clinical procedural success rate was 97.86% and the complete lead removal was observed in 94.85%. Additional extraction tools were used in 6.65% of cases. The rate of procedural failure was 2.14% with lead age ≥10 years being its only predictor. The overall complication rate was 4.32%, including 2.06% major and 2.26% minor complications. Procedure-related mortality was 0.55%. Female sex and the presence of abandoned leads were predictors for procedure-related complications. The all-cause in-hospital mortality was 3.56% with systemic infection being the strongest predictor, followed by age ≥75 years and chronic kidney disease.CONCLUSION: In the GALLERY, a high success- and low procedure-related complication rates have been demonstrated. In multivariate analysis, female sex and the presence of abandoned leads were predictors for procedure-related complications, while the presence of systemic infection, age ≥75 years, and chronic kidney disease were independent predictors for all-cause mortality.
AB - AIMS: The GermAn Laser Lead Extraction RegistrY: GALLERY is a retrospective, national multicentre registry, investigating the safety and efficacy of laser lead extraction procedures in Germany.METHODS AND RESULTS: Twenty-four German centres that are performing laser lead extraction have participated in the registry. All patients, treated with a laser lead extraction procedure between January 2013 and March 2017, were consecutively enrolled. Safety and efficacy of laser lead extraction were investigated. A total number of 2524 consecutive patients with 6117 leads were included into the registry. 5499 leads with a median lead dwell time of 96 (62-141) months were treated. The mean number of treated leads per patient was 2.18 ± 1.02. The clinical procedural success rate was 97.86% and the complete lead removal was observed in 94.85%. Additional extraction tools were used in 6.65% of cases. The rate of procedural failure was 2.14% with lead age ≥10 years being its only predictor. The overall complication rate was 4.32%, including 2.06% major and 2.26% minor complications. Procedure-related mortality was 0.55%. Female sex and the presence of abandoned leads were predictors for procedure-related complications. The all-cause in-hospital mortality was 3.56% with systemic infection being the strongest predictor, followed by age ≥75 years and chronic kidney disease.CONCLUSION: In the GALLERY, a high success- and low procedure-related complication rates have been demonstrated. In multivariate analysis, female sex and the presence of abandoned leads were predictors for procedure-related complications, while the presence of systemic infection, age ≥75 years, and chronic kidney disease were independent predictors for all-cause mortality.
U2 - 10.1093/europace/euac056
DO - 10.1093/europace/euac056
M3 - SCORING: Journal article
C2 - 35718878
VL - 24
SP - 1627
EP - 1635
JO - EUROPACE
JF - EUROPACE
SN - 1099-5129
IS - 10
ER -