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Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths

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Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths. / Hakmi, Samer; Pecha, Simon; Sill, Björn; Reiter, Beate; Willems, Stephan; Aydin, Muhammet Ali; Yildirim, Yalin; Reichenspurner, Hermann; Treede, Hendrik.

In: INTERACT CARDIOV TH, Vol. 18, No. 1, 01.2014, p. 56-60.

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

Harvard

Hakmi, S, Pecha, S, Sill, B, Reiter, B, Willems, S, Aydin, MA, Yildirim, Y, Reichenspurner, H & Treede, H 2014, 'Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths', INTERACT CARDIOV TH, vol. 18, no. 1, pp. 56-60. https://doi.org/10.1093/icvts/ivt428

APA

Hakmi, S., Pecha, S., Sill, B., Reiter, B., Willems, S., Aydin, M. A., Yildirim, Y., Reichenspurner, H., & Treede, H. (2014). Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths. INTERACT CARDIOV TH, 18(1), 56-60. https://doi.org/10.1093/icvts/ivt428

Vancouver

Hakmi S, Pecha S, Sill B, Reiter B, Willems S, Aydin MA et al. Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths. INTERACT CARDIOV TH. 2014 Jan;18(1):56-60. https://doi.org/10.1093/icvts/ivt428

Bibtex

@article{5a23f3d6fb9247fb853e2d54226370bd,
title = "Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths",
abstract = "OBJECTIVES: Laser lead extraction is a challenging procedure, especially in patients with old or multiple pacemaker (PM) or implantable cardioverter defibrillator (ICD) leads. The mechanical force is a leading cause of complications during the extraction procedure. Use of new laser sheaths, which deliver a rate of 80 pulses per second, may probably reduce intraoperative adverse events by reduction of extraction force.METHODS: Between January 2012 and April 2013, 76 PM and ICD leads were treated in 38 patients using GlideLight 80 Hz laser sheaths. Indications for lead removals were pocket infection (42.1%), septicaemia or endocarditis (23.7%), lead dysfunction (31.6%) and upgrade from PM to ICD (2.6%). Data on procedural success rates, intra- and postoperative outcomes, as well as 30-day mortality were collected into a database and analysed retrospectively.RESULTS: The mean patient age was 62.0 ± 17.7 years (range 18-83), and 73.7% were male. The mean time from initial lead implantation was 96.0 ± 58.3 months (range 24-288). Thirty-seven (48.7%) PM and 39 (51.3%) ICD leads had to be extracted. The mean procedural time was 68.3 ± 27.3 min (range 35-115). Seventy-two of 76 leads (94.8%) were completely removed, partial removal was achieved in 2 (2.6%) leads and a failure of extraction occurred in 2 (2.6%) leads. The overall complication rate was 5.2%, including one major (superior vena cava perforation) (2.6%) and one minor (pocket haematoma) (2.6%) complication. No death occurred during the 30-day follow-up.CONCLUSIONS: The GlideLight 80 Hz laser sheath allows safe and effective removal of chronically implanted PM and ICD leads, combining high procedural success with low complication rates.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Catheters, Defibrillators, Implantable, Device Removal/adverse effects, Humans, Laser Therapy/adverse effects, Lasers, Excimer, Male, Middle Aged, Pacemaker, Artificial, Postoperative Complications/etiology, Prosthesis Design, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Young Adult",
author = "Samer Hakmi and Simon Pecha and Bj{\"o}rn Sill and Beate Reiter and Stephan Willems and Aydin, {Muhammet Ali} and Yalin Yildirim and Hermann Reichenspurner and Hendrik Treede",
year = "2014",
month = jan,
doi = "10.1093/icvts/ivt428",
language = "English",
volume = "18",
pages = "56--60",
journal = "INTERACT CARDIOV TH",
issn = "1569-9293",
publisher = "European Association for Cardio-Thoracic Surgery",
number = "1",

}

RIS

TY - JOUR

T1 - Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths

AU - Hakmi, Samer

AU - Pecha, Simon

AU - Sill, Björn

AU - Reiter, Beate

AU - Willems, Stephan

AU - Aydin, Muhammet Ali

AU - Yildirim, Yalin

AU - Reichenspurner, Hermann

AU - Treede, Hendrik

PY - 2014/1

Y1 - 2014/1

N2 - OBJECTIVES: Laser lead extraction is a challenging procedure, especially in patients with old or multiple pacemaker (PM) or implantable cardioverter defibrillator (ICD) leads. The mechanical force is a leading cause of complications during the extraction procedure. Use of new laser sheaths, which deliver a rate of 80 pulses per second, may probably reduce intraoperative adverse events by reduction of extraction force.METHODS: Between January 2012 and April 2013, 76 PM and ICD leads were treated in 38 patients using GlideLight 80 Hz laser sheaths. Indications for lead removals were pocket infection (42.1%), septicaemia or endocarditis (23.7%), lead dysfunction (31.6%) and upgrade from PM to ICD (2.6%). Data on procedural success rates, intra- and postoperative outcomes, as well as 30-day mortality were collected into a database and analysed retrospectively.RESULTS: The mean patient age was 62.0 ± 17.7 years (range 18-83), and 73.7% were male. The mean time from initial lead implantation was 96.0 ± 58.3 months (range 24-288). Thirty-seven (48.7%) PM and 39 (51.3%) ICD leads had to be extracted. The mean procedural time was 68.3 ± 27.3 min (range 35-115). Seventy-two of 76 leads (94.8%) were completely removed, partial removal was achieved in 2 (2.6%) leads and a failure of extraction occurred in 2 (2.6%) leads. The overall complication rate was 5.2%, including one major (superior vena cava perforation) (2.6%) and one minor (pocket haematoma) (2.6%) complication. No death occurred during the 30-day follow-up.CONCLUSIONS: The GlideLight 80 Hz laser sheath allows safe and effective removal of chronically implanted PM and ICD leads, combining high procedural success with low complication rates.

AB - OBJECTIVES: Laser lead extraction is a challenging procedure, especially in patients with old or multiple pacemaker (PM) or implantable cardioverter defibrillator (ICD) leads. The mechanical force is a leading cause of complications during the extraction procedure. Use of new laser sheaths, which deliver a rate of 80 pulses per second, may probably reduce intraoperative adverse events by reduction of extraction force.METHODS: Between January 2012 and April 2013, 76 PM and ICD leads were treated in 38 patients using GlideLight 80 Hz laser sheaths. Indications for lead removals were pocket infection (42.1%), septicaemia or endocarditis (23.7%), lead dysfunction (31.6%) and upgrade from PM to ICD (2.6%). Data on procedural success rates, intra- and postoperative outcomes, as well as 30-day mortality were collected into a database and analysed retrospectively.RESULTS: The mean patient age was 62.0 ± 17.7 years (range 18-83), and 73.7% were male. The mean time from initial lead implantation was 96.0 ± 58.3 months (range 24-288). Thirty-seven (48.7%) PM and 39 (51.3%) ICD leads had to be extracted. The mean procedural time was 68.3 ± 27.3 min (range 35-115). Seventy-two of 76 leads (94.8%) were completely removed, partial removal was achieved in 2 (2.6%) leads and a failure of extraction occurred in 2 (2.6%) leads. The overall complication rate was 5.2%, including one major (superior vena cava perforation) (2.6%) and one minor (pocket haematoma) (2.6%) complication. No death occurred during the 30-day follow-up.CONCLUSIONS: The GlideLight 80 Hz laser sheath allows safe and effective removal of chronically implanted PM and ICD leads, combining high procedural success with low complication rates.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Catheters

KW - Defibrillators, Implantable

KW - Device Removal/adverse effects

KW - Humans

KW - Laser Therapy/adverse effects

KW - Lasers, Excimer

KW - Male

KW - Middle Aged

KW - Pacemaker, Artificial

KW - Postoperative Complications/etiology

KW - Prosthesis Design

KW - Retrospective Studies

KW - Risk Factors

KW - Time Factors

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1093/icvts/ivt428

DO - 10.1093/icvts/ivt428

M3 - SCORING: Journal article

C2 - 24087832

VL - 18

SP - 56

EP - 60

JO - INTERACT CARDIOV TH

JF - INTERACT CARDIOV TH

SN - 1569-9293

IS - 1

ER -