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Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths

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Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths. / Burger, Heiko; Hakmi, Samer; Petersen, Johannes; Yildirim, Yalin; Choi, Yeong-Hoon; Willems, Stephan; Reichenspurner, Hermann; Ziegelhoeffer, Tibor; Pecha, Simon.

In: PACE, Vol. 44, No. 4, 04.2021, p. 601-606.

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

Harvard

Burger, H, Hakmi, S, Petersen, J, Yildirim, Y, Choi, Y-H, Willems, S, Reichenspurner, H, Ziegelhoeffer, T & Pecha, S 2021, 'Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths', PACE, vol. 44, no. 4, pp. 601-606. https://doi.org/10.1111/pace.14195

APA

Burger, H., Hakmi, S., Petersen, J., Yildirim, Y., Choi, Y-H., Willems, S., Reichenspurner, H., Ziegelhoeffer, T., & Pecha, S. (2021). Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths. PACE, 44(4), 601-606. https://doi.org/10.1111/pace.14195

Vancouver

Burger H, Hakmi S, Petersen J, Yildirim Y, Choi Y-H, Willems S et al. Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths. PACE. 2021 Apr;44(4):601-606. https://doi.org/10.1111/pace.14195

Bibtex

@article{67fd15a5996f4dbb8f2da333fa23015c,
title = "Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths",
abstract = "BACKGROUND: In the aging population equipped with cardiac implantable electronic devices, an increasing number of octogenarians require lead extractions. This patient population is often considered as a high-risk group for surgical procedures. We, therefore, investigated the safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths.METHODS: Between January 2013 and March 2017, 403 patients underwent lead extraction at two high-volume lead extraction centers. A total of 71 octogenarians were treated with laser lead extraction and were included in this analysis. Primary extraction method was laser lead extraction, with additional use of mechanical rotational sheaths or femoral snares, if necessary. Patient-based and procedural data were collected and analyzed retrospectively.RESULTS: Mean age was 83.5 ± 3.3 years, 64.7% were males. A total of 152 leads were extracted. The mean lead dwell time of treated leads was 10.2 ± 5.2 years. Complete procedural success rate was 92.9%, while clinical success was achieved in 98.6%. Failure of extraction occurred in one patient (1.4%). In six (7.7%) patients, additional mechanical rotational sheaths or femoral snares were used. Overall complication rate was 4.2%, including one (1.4%) major (RA perforation) and two (2.8%) minor complications. No procedure-related mortality was observed in any of the patients.CONCLUSION: Transvenous lead extraction in octogenarians with old leads is safe and effective when performed in experienced centers. Patient's age should therefore not be considered as contraindication for lead extraction using powered extraction sheaths.",
keywords = "Aged, 80 and over, Constriction, Pathologic, Defibrillators, Implantable, Device Removal, Electrodes, Implanted, Equipment Failure, Female, Fluoroscopy, Humans, Lasers, Male, Pacemaker, Artificial, Retrospective Studies, Risk Factors, Surgical Wound Infection/therapy",
author = "Heiko Burger and Samer Hakmi and Johannes Petersen and Yalin Yildirim and Yeong-Hoon Choi and Stephan Willems and Hermann Reichenspurner and Tibor Ziegelhoeffer and Simon Pecha",
note = "{\textcopyright} 2021 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC.",
year = "2021",
month = apr,
doi = "10.1111/pace.14195",
language = "English",
volume = "44",
pages = "601--606",
journal = "PACE",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "4",

}

RIS

TY - JOUR

T1 - Safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths

AU - Burger, Heiko

AU - Hakmi, Samer

AU - Petersen, Johannes

AU - Yildirim, Yalin

AU - Choi, Yeong-Hoon

AU - Willems, Stephan

AU - Reichenspurner, Hermann

AU - Ziegelhoeffer, Tibor

AU - Pecha, Simon

N1 - © 2021 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC.

PY - 2021/4

Y1 - 2021/4

N2 - BACKGROUND: In the aging population equipped with cardiac implantable electronic devices, an increasing number of octogenarians require lead extractions. This patient population is often considered as a high-risk group for surgical procedures. We, therefore, investigated the safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths.METHODS: Between January 2013 and March 2017, 403 patients underwent lead extraction at two high-volume lead extraction centers. A total of 71 octogenarians were treated with laser lead extraction and were included in this analysis. Primary extraction method was laser lead extraction, with additional use of mechanical rotational sheaths or femoral snares, if necessary. Patient-based and procedural data were collected and analyzed retrospectively.RESULTS: Mean age was 83.5 ± 3.3 years, 64.7% were males. A total of 152 leads were extracted. The mean lead dwell time of treated leads was 10.2 ± 5.2 years. Complete procedural success rate was 92.9%, while clinical success was achieved in 98.6%. Failure of extraction occurred in one patient (1.4%). In six (7.7%) patients, additional mechanical rotational sheaths or femoral snares were used. Overall complication rate was 4.2%, including one (1.4%) major (RA perforation) and two (2.8%) minor complications. No procedure-related mortality was observed in any of the patients.CONCLUSION: Transvenous lead extraction in octogenarians with old leads is safe and effective when performed in experienced centers. Patient's age should therefore not be considered as contraindication for lead extraction using powered extraction sheaths.

AB - BACKGROUND: In the aging population equipped with cardiac implantable electronic devices, an increasing number of octogenarians require lead extractions. This patient population is often considered as a high-risk group for surgical procedures. We, therefore, investigated the safety and efficacy of transvenous lead extraction in octogenarians using powered extraction sheaths.METHODS: Between January 2013 and March 2017, 403 patients underwent lead extraction at two high-volume lead extraction centers. A total of 71 octogenarians were treated with laser lead extraction and were included in this analysis. Primary extraction method was laser lead extraction, with additional use of mechanical rotational sheaths or femoral snares, if necessary. Patient-based and procedural data were collected and analyzed retrospectively.RESULTS: Mean age was 83.5 ± 3.3 years, 64.7% were males. A total of 152 leads were extracted. The mean lead dwell time of treated leads was 10.2 ± 5.2 years. Complete procedural success rate was 92.9%, while clinical success was achieved in 98.6%. Failure of extraction occurred in one patient (1.4%). In six (7.7%) patients, additional mechanical rotational sheaths or femoral snares were used. Overall complication rate was 4.2%, including one (1.4%) major (RA perforation) and two (2.8%) minor complications. No procedure-related mortality was observed in any of the patients.CONCLUSION: Transvenous lead extraction in octogenarians with old leads is safe and effective when performed in experienced centers. Patient's age should therefore not be considered as contraindication for lead extraction using powered extraction sheaths.

KW - Aged, 80 and over

KW - Constriction, Pathologic

KW - Defibrillators, Implantable

KW - Device Removal

KW - Electrodes, Implanted

KW - Equipment Failure

KW - Female

KW - Fluoroscopy

KW - Humans

KW - Lasers

KW - Male

KW - Pacemaker, Artificial

KW - Retrospective Studies

KW - Risk Factors

KW - Surgical Wound Infection/therapy

U2 - 10.1111/pace.14195

DO - 10.1111/pace.14195

M3 - SCORING: Journal article

C2 - 33594705

VL - 44

SP - 601

EP - 606

JO - PACE

JF - PACE

SN - 0147-8389

IS - 4

ER -