Search: onr:"swepub:oai:DiVA.org:uu-399058" >
Comparison of outco...
Comparison of outcomes in infected cardiovascular implantable electronic devices between complete, partial, and failed lead removal : an ESC-EHRA-EORP ELECTRa (European Lead Extraction ConTrolled) registry
-
Nof, Eyal (author)
-
Bongiorni, Maria Grazia (author)
-
Auricchio, Angelo (author)
-
show more...
-
Butter, Christian (author)
-
Dagres, Nikolaos (author)
-
Deharo, Jean-Claude (author)
-
Rinaldi, Christopher A (author)
-
Maggioni, Aldo P (author)
-
Kutarski, Andrzej (author)
-
Kennergren, Charles (author)
-
Laroche, Cécile (author)
-
Milman, Anat (author)
-
Beinart, Roy (author)
-
Bogdan, Stefan (author)
-
- Mörtsell, David (author)
- Uppsala universitet,Kardiologi-arrytmi
-
Calvi, Valeria (author)
-
Desiron, Quentin (author)
-
Mansourati, Jacques (author)
-
- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi-arrytmi,Kardiologi
-
Glikson, Michael (author)
-
show less...
-
(creator_code:org_t)
- 2019-10-18
- 2019
- English.
-
In: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 21:12, s. 1876-1889
- Related links:
-
https://urn.kb.se/re...
-
show more...
-
https://doi.org/10.1...
-
show less...
Abstract
Subject headings
Close
- AIMS: The present study sought to determine predictors for success and outcomes of patients who underwent cardiac implantable electronic devices (CIED) extraction indicated for systemic or local CIED related infection in particular where complete lead removal could not be achieved.METHODS AND RESULTS: ESC-EORP ELECTRa (European Lead Extraction ConTRolled Registry) is a European prospective lead extraction registry. Out of the total cohort, 1865/3510 (52.5%) patients underwent removal due to CIED related infection. Predictors and outcomes of failure were analysed. Complete removal was achieved in 1743 (93.5%) patients, partial (<4 cm of lead left) in 88 (4.7%), and failed (>4 cm of lead left) in 32 (1.8%) patients. Removal success was unrelated to type of CIED infection (pocket or systemic). Predictors for failure were older leads and older patients [odds ratio (OR) 1.14 (1.08-1.19), P < 0.0001 and OR 2.68 (1.22-5.91), P = 0.0146, respectively]. In analysis by lead, predictors for failure were: pacemaker vs. defibrillator removal and failure to engage the locking stylet all the way to the tip [OR 0.20 (0.04-0.95), P = 0.03 and OR 0.32 (0.13-0.74), P = 0.008, respectively]. Significantly higher complication rates were noted in the failure group (40.6% vs. 15.9 for partial and 8.7% for success groups, P < 0.0001). Failure to remove a lead was a strong predictor for in hospital mortality [hazard ratio of 2.05 (1.01-4.16), P = 0.046].CONCLUSION: A total of 6.5% of infected CIED patients failed attempted extraction. Only were >4 cm of lead remained resulted in higher procedural complications and mortality rates.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Cardiac implantable electronic devices
- Infection
- Lead extraction
- Registry
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
-
Europace
(Search for host publication in LIBRIS)
To the university's database
- By the author/editor
-
Nof, Eyal
-
Bongiorni, Maria ...
-
Auricchio, Angel ...
-
Butter, Christia ...
-
Dagres, Nikolaos
-
Deharo, Jean-Cla ...
-
show more...
-
Rinaldi, Christo ...
-
Maggioni, Aldo P
-
Kutarski, Andrze ...
-
Kennergren, Char ...
-
Laroche, Cécile
-
Milman, Anat
-
Beinart, Roy
-
Bogdan, Stefan
-
Mörtsell, David
-
Calvi, Valeria
-
Desiron, Quentin
-
Mansourati, Jacq ...
-
Blomström-Lundqv ...
-
Glikson, Michael
-
show less...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Clinical Medicin ...
-
and Cardiac and Card ...
- Articles in the publication
-
Europace
- By the university
-
Uppsala University