Indications to lead extractions in patients without infection
https://doi.org/10.18705/2311-4495-2016-3-3-26-33
Abstract
Due to increasing cardiovascular implantable devices implantation rate, including CRT, the growing need in implantation of new leads requires extraction of redundant leads. Despite the fact that infection is the most common indication for lead removal, the non-infection indications are still of current interest. Objective. To evaluate effectiveness and safety of lead extraction in non-infection patients, basing on surgeries carried out in our department. Materials and methods. 115 lead extraction procedures were performed in our department from Apr 2011 till Dec 2015, 22 (19,13 %) were with non-infection indications, 13 (59,09 %) were women, mean age 66,86 ± 13,50 years. Effectiveness and safety of a procedure were evaluated. Non-infection patients included venous stenosis and thrombosis, extraction of non-functional or redundant functional leads. Mechanical extraction tools were used, patients with simple traction removal were excluded from this study. Results. Clinical procedural success rate was 100 % (22 cases), and complete procedural success rate was 95,45 % (21 case). 30 leads were removed with clinical success. No complications observed. Conclusion. Transvenous lead extraction in patients with non-infection indications for lead removal is effective and safe.
About the Authors
Konstantin A. Kosonogov
State-Funded Health Facility of Nizhniy Novgorod region «City clinic hospital № 5 of Nizhegorodskiy district, Nizhniy Novgorod»
Russian Federation
Russian Federation
Alexey Ya. Kosonogov
State-Funded Health Facility of Nizhniy Novgorod region «City clinic hospital № 5 of Nizhegorodskiy district, Nizhniy Novgorod»
Russian Federation
Russian Federation
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Review
For citations:
Kosonogov K.A., Kosonogov A.Ya. Indications to lead extractions in patients without infection. Translational Medicine. 2016;3(3):26-33. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-3-26-33
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