-Provides readers with state-of-the-art information on lead extraction techniques.-Details a new extracting technique which is performed through the internal jugular vein; several examples are included, and many figures provide a thorough depiction of this innovative procedure.-Will be an excellent ...
! Background: Cardiac implantable electronic device infections have been on the rise. A high-risk population is that with renal disease, especially dialysis. We aimed to assess procedural profiles and clinical outcomes of transvenous lead extraction for cardiac implantable electronic device infection based on renal disease status.
Aims: We sought to compare outcomes and costs of a stepwise approach to transvenous lead extraction (TLE) involving laser-assisted sheaths or mechanical polypropylene sheaths, with/without crossover.
proved patient management. The techniques of transvenous lead extraction have been detailed elsewhere.13,14,15,16,17,18 The penetration of transvenous lead extraction techniques into general use was slow due to the potential for fatal com-plications and the limited training in the tools and techniques.
Full-Text Paper (PDF): A challenging case of transvenous lead extraction
Leading from Experience in Transvenous Lead Extraction. As more patients require extraction of pacemaker and ICD leads, the risks from this complex procedure mount. Multidisciplinary expertise is key to avoiding infection
Transvenous lead extraction approach and risk of complications may be determined using imaging modalities, such as chest x-ray, transesophageal echocardiogram, ...
Aim of this book is to provide state-of-the-art techniques for lead extraction and to cover subjects such as lead characteristics, indications for lead removal, patient preparation, extraction tools and techniques, complication prevention and management.
Transvenous lead extraction, cardiac implantable electronic devices, infection, implantable cardioverter-defibrillator, cardiac pacemaker, cardiac resynchronisation therapy Disclosure The authors have no conflicts of interest to declare.
In the majority of cases, transvenous lead extraction (TLE) is necessary for the management of complications. CIED infection remains the strongest and most common indication for TLE, followed by device recall and venous thrombosis.
! Objectives The goal of this study is to assess the safety and efficacy of mechanical lead extraction utilizing the Evolution system. Background Compared with other techniques commonly used for lead extraction, data regarding the safety and efficacy of mechanical lead extraction using the Evolution system is limited and needs ...
Transvenous lead extraction (TLE) carries a significant risk of intraprocedural complications. Phased-array intracardiac echocardiography (ICE) is widely used during cardiac procedures; however, its utility during TLE has not been well described.
TRANSVENOUS PACING AND ICD LEADS This would also be termed a complete extrac-tion. Partial extraction is removal of most of the lead, but a small portion (such as the electrode tip
Cardiac lead extractions are safer in high-volume centres. Extraction in a low volume centre was associated with a doubled risk of death
We performed a detailed review of all injuries sustained during transvenous laser lead extraction in the province of British Columbia (population 4.5 million), Canada, from 1996 to July 2015. In British Columbia, the vast majority of extractions are performed using the excimer laser (Spectranetics, Colorado Springs, CO), and all laser extractions were
Request PDF on ResearchGate Multicenter Experience with Transvenous Lead Extraction of Active Fixation Coronary Sinus Leads Active fixation coronary sinus (CS) leads limit dislodgement and represent an attractive option to the implanter. Although extraction of passive fixation CS leads is a common and frequently uncomplicated procedure, data regarding extraction
This program is designed to provide the learner with the most up to date knowledge on transvenous lead extraction, approaches to minimize device related infections, and information on best practices, new techniques, technologies and guidelines to minimize and manage lead extraction complications.
Transvenous lead extraction (TLE) has undergone an explosive evolution since its inception as a rudimentary skill with limited technology and therapeutic options. Early techniques involved simple manual traction that frequently proved ineffective for chronically implanted leads and carried a significant risk of myocardial avulsion,
Lead Extraction: When and Why? Angel R. León MD Emory University School of Medicine 2009 Heart Rhythm Society Transvenous Lead Extraction: Expert
transvenous lead extraction Infective endocarditis (IE) is a malignant disease in patients with chronic implantable electronic devices (CIEDs). With rare exceptions, IE necessitates removal of the entire CIED system, including the pulse generator and the accompanying intravascular components.
-Provides readers with state-of-the-art information on lead extraction techniques.-Details a new extracting technique which is performed through the internal jugular vein; several examples are included, and many figures provide a
Aims The European Lead Extraction ConTRolled Registry (ELECTRa), is a prospective registry of consecutive transvenous lead extraction (TLE) procedures conducted by the European Heart Rhythm Association (EHRA) in order to identify the safety and efficacy of the current practice of TLE.
Unrecognized Venous Injuries After Cardiac Implantable Electronic Device Transvenous Lead Extraction
Maria Lucia Narducci (Department of Cardiovascular Sciences, Catholic University of Sacred Heart, Rome, Italy) and others report in Europace that the presence of residual fibrous tissueor ghostsafter transvenous lead extraction is associated with a significantly increased risk of death.
ABSTRACT. Transvenous lead extraction (TLE) has undergone an explosive evolution since its inception as a rudimentary skill with limited technology and therapeutic options.
Maria Grazia Bongiorni Editor Transvenous Lead Extraction From SimpleTraction to Internal Transjugular Approach Foreword by Bruce L. Wilkoff ~Springer
In this paper, jones and colleagues from the Brigham and Women's Hospital in Boston report a seven-year experience with transvenous extraction of pacemakers and
Maria Grazia Bongiorni (Pisa, Italy) compares mechanical transvenous lead extraction vs. laser lead extraction approaches with supporting evidence from key randomised controlled trials in the field. In the last few decades, the number of cardiovascular implantable electronic devices (CIEDs) has strikingly risen, leading to an increasing number of
Maria Grazia Bongiorni (Pisa, Italy) compares mechanical transvenous lead extraction vs. laser lead extraction approaches with supporting evidence from key randomised controlled trials in the field.
Transvenous lead extraction (TLE) is the gold standard for treatment of CIED-related infection and lead malfunction. Operator experience and pathological issues, such as lead adhesions, can affect results and complications rates of TLE.
Read "Transvenous Lead Extraction From Simple Traction to Internal Transjugular Approach" by with Rakuten Kobo. In the last years, indications for defibrillators and cardiac resynchronization therapy have expanded enormously; for th...
Transvenous Lead Extraction: A Step-by-Step Approach. 1 SUBHA L. VARAHAN, MD, 2 VICTOR PRETORIUS, MBchB and 1 ULRIKA BIRGERSDOTTER-GREEN, MD. Departments of 1 Cardiac Electrophysiology and 2 Cardiothoracic Surgery, University of California, San Diego
AbstractAims. The European Lead Extraction ConTRolled Registry (ELECTRa), is a prospective registry of consecutive transvenous lead extraction (TLE) procedures
Transvenous Lead Extraction Procedure Cardiac specialists in the Heart & Vascular Center are experts in a minimally invasive procedure known as transvenous lead
The major complication rate of transvenous lead extraction (TLE) is estimated to be 1%2%. Laceration of the central veins can be fatal.
Successful transvenous lead extraction after a failed open surgical attempt Hanney Gonna, Giulia Domenichini, and Mark M. Gallagher* Department of Cardiology, St ...
CURRENT CONCEPTS IN EXTRACTION OF TRANSVENOUS PACING AND ICD LEADS 197 Class-D: J-wire fracture visualized and wire Class-E: Fragment of the J-wire has migrated protrudes from the lead
In conclusion, transvenous lead extraction is an effective and safe procedure. The success rate and the incidence of complications are highly affected by the staff experience. The use of the jugular approach, in the presence of free-floating or difficult exposed leads, increases both safety and success rate.
The recently presented 2009 Heart Rhythm Society Expert Consensus on Transvenous Lead Extraction provides several recommendations to help the specialty of lead extraction evolve.
Background: Transvenous lead extraction (TLE) is a complex invasive procedure and the experience of the operator and the team is a
The total number of extracted leads were 275 (1.85 leads per patient). In the entire population 15 of 153 patients were died during the follow-up unrelated to extraction procedure. Conclusion: Although cardiac devices can be implanted in many centers, lead extraction procedures can be performed in a very limited number of clinics.
Background: Uninterrupted anticoagulation is important for patients at high risk of thromboembolism.Bridging with heparin/lovenox increases the risk of hematoma and infection. There is no published data on the feasibility of transvenous lead extraction (TLE) during uninterrupted anticoagulation.
transvenous lead extraction; Transvenous lead extraction (TLE) is being performed in greater numbers of patients each year as the number of pacemakers and implantable cardioverter-defibrillators (ICDs) implanted increases.
Abstract. The 2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction, developed in collaboration with the ACC, AHA, APHRS, ASA, EHRA, IDSA, LAHRS, PACES, and STS, is intended to help clinicians in their decision-making process for managing leads and builds on the 2009 Transvenous Lead Extraction
Historically, the perceived risk of extraction has limited the referral and performance of this procedure to patients with life-threatening situations, but experience and the
Techniques, Technology, and Innovations Hybrid Minimally Invasive Approach for Transvenous Lead Extraction: A Feasible Technique in High-Risk Patients
The performance of transvenous lead extraction has the potential for significant morbidity and mortality, and complications are inevitable. Although uncommon, vascular tears involving the superior vena cava (SVC) are often fatal. The single most important factor in preventing a major complication from leading to death is the time to intervention.
Mar 10, 2017· Extraction Tips on how to use the cook needles eye snare for lead extraction WITH Audio Duration: 10:30. BIVTIPS 386 viewsAuthor: Dr. Elkin González Villegas
The findings were similar when the analysis was restricted to medium- and high-volume transvenous lead extraction centers. If the risk is greater with the laser systems, it may well be operator-dependent, especially with respect to depth of operator experience with the procedure, according to Schaerf.
The European Lead Extraction ConTRolled (ELECTRa) registry of transvenous lead extraction (TLE) outcomes was conducted by the European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC) under the EURObservational Research Programme (EORP).