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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, Vol. 11, No. 4, 2016, p. e0153651.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Pecha, S, Kennergren, C, Yildirim, Y, Gosau, N, Aydin, A, Willems, S, Treede, H, Reichenspurner, H & Hakmi, S 2016, 'Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads', PLOS ONE, vol. 11, no. 4, pp. e0153651. https://doi.org/10.1371/journal.pone.0153651

APA

Pecha, S., Kennergren, C., Yildirim, Y., Gosau, N., Aydin, A., Willems, S., Treede, H., Reichenspurner, H., & Hakmi, S. (2016). Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads. PLOS ONE, 11(4), e0153651. https://doi.org/10.1371/journal.pone.0153651

Vancouver

Pecha S, Kennergren C, Yildirim Y, Gosau N, Aydin A, Willems S et al. Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads. PLOS ONE. 2016;11(4):e0153651. https://doi.org/10.1371/journal.pone.0153651

Bibtex

@article{a329178421034f14b30e81f2a95563c9,
title = "Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads",
abstract = "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{\textregistered} Attain StarFix{\texttrademark} 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.",
keywords = "Aged, Cardiac Resynchronization Therapy Devices, Coronary Sinus/surgery, Device Removal/methods, Electrodes, Implanted, Female, Humans, Male, Pacemaker, Artificial, Retrospective Studies, Treatment Outcome",
author = "Simon Pecha and Charles Kennergren and Yalin Yildirim and Nils Gosau and Ali Aydin and Stephan Willems and Hendrik Treede and Hermann Reichenspurner and Samer Hakmi",
year = "2016",
doi = "10.1371/journal.pone.0153651",
language = "English",
volume = "11",
pages = "e0153651",
journal = "PLOS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "4",

}

RIS

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 -