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Major cardiac and v...
Major cardiac and vascular complications after transvenous lead extraction : acute outcome and predictive factors from the ESC-EHRA ELECTRa (European Lead Extraction ConTRolled) registry
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Zucchelli, Giulio (författare)
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Di Cori, Andrea (författare)
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Segreti, Luca (författare)
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Laroche, Cécile (författare)
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- Blomström-Lundqvist, Carina (författare)
- Uppsala universitet,Kardiologi-arrytmi
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Kutarski, Andrzej (författare)
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Regoli, François (författare)
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Butter, Christian (författare)
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Defaye, Pascal (författare)
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Pasquié, Jean Luc (författare)
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Auricchio, Angelo (författare)
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Maggioni, Aldo P (författare)
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Bongiorni, Maria Grazia (författare)
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(creator_code:org_t)
- 2018-12-27
- 2019
- Engelska.
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Ingår i: Europace. - : Oxford University Press (OUP). - 1099-5129 .- 1532-2092. ; 21:5, s. 771-780
- Relaterad länk:
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Aims: We aimed at describing outcomes and predictors of cardiac avulsion or tear (CA/T) with tamponade and vascular avulsion or tear (VA/T) after transvenous lead extraction (TLE) in the ESC-EHRA European Lead Extraction ConTRolled (ELECTRa) registry.Methods and results: A total of 3555 consecutive patients of whom 3510 underwent TLE at 73 centres in 19 European countries were enrolled. Among 58 patients (1.7%) with procedure-related major complications, 49 (84.5%) patients (30 CA/T and 19 VA/T) presented cardiovascular complications requiring pericardiocentesis, chest tube positioning and/or surgical repair. The mortality was 20% in patients with tamponade due to CA/T and 31.6% in patients with VA/T. Pericardiocentesis as first manoeuvre followed by rescue surgical repair was highly effective in case of CA/T (93.8%). At multivariate analysis, CA/T with tamponade was more common in RIATA lead extraction, female patients, leads with a mean dwelling time more than 10 years, and when ≥3 leads were extracted or multiple sheaths required. Occlusion or critical stenosis of superior venous access and the leads mean dwelling time more than 10 years were independent predictors for VA/T, while mechanical dilatation was an independent predictor of a lower incidence of this complication as compared to the use of powered sheaths.Conclusions: In the ELECTRa registry, RIATA lead extraction and superior venous access occlusion/thrombosis are two new independent predictors for cardiac tamponade and major vascular complications, respectively. The use of mechanical sheaths seems to be associated with a lower incidence of VA/T. A strategy of pericardiocentesis followed by a rescue surgical approach seems to be reasonable in order to treat a CA/T with tamponade.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Lead extraction
- Major complications
- Cardiac tamponade
- Registry
- Cardiology
- Kardiologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Europace
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- Av författaren/redakt...
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Zucchelli, Giuli ...
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Di Cori, Andrea
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Segreti, Luca
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Laroche, Cécile
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Blomström-Lundqv ...
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Kutarski, Andrze ...
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visa fler...
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Regoli, François
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Butter, Christia ...
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Defaye, Pascal
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Pasquié, Jean Lu ...
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Auricchio, Angel ...
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Maggioni, Aldo P
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Bongiorni, Maria ...
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visa färre...
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Uppsala universitet