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学科主题: 临床医学
题名:
Re-evaluation of transvenous lead extraction with modified standard technique: A prospective study in 229 patients
作者: Chu, Xian-ming1,2; Li, Xue-bin2; Zhang, Ping2; Wang, Long2; Li, Ding2; Duan, Jiang-bo2; Li, Bing3; Guo, Ji-hong2
关键词: lead ; extraction ; cardiac implantable electrical device ; infection ; complication
刊名: JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES
发表日期: 2013-10-01
DOI: 10.1007/s11596-013-1175-y
卷: 33, 期:5, 页:650-655
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Biochemistry & Molecular Biology
研究领域[WOS]: Biochemistry & Molecular Biology
关键词[WOS]: CARDIOVERTER-DEFIBRILLATORS ; LASER SHEATH ; WORLD SURVEY ; PACEMAKER ; EXPERIENCE ; ASSOCIATION ; INFECTIONS ; TRIAL
英文摘要:

As new-type powered sheaths are expensive and unavailable, the standard lead extraction techniques remain the mainstay in clinical applications in many countries. The purpose of this study was to re-evaluate the clinical application of the standard lead extraction techniques and equipment, and make some procedural modifications and innovations. In our center, between January 2006 and May 2012, 229 patients (median, 66 years) who underwent lead extraction due to infection and lead malfunction were registered and followed up prospectively with respect to clinical features, reasons for lead extraction, technical characteristics, and clinical prognosis. A total of 440 leads had to be extracted transvenously by using special tools from 229 patients (male, 72.1%). Vegetations a parts per thousand yen1 cm were detected in six patients. Locking Stylets were applied for 398 (90.5%) leads. Telescoping dilator polypropylene sheaths and counter traction technique were used for 202 (45.9%) leads due to lead adhesion, and the mean implant duration of the 202 leads was longer than the other 238 leads (48.9 +/- 22.6 vs. 26.6 +/- 17.8 months; P < 0.01). In addition, modified isolation and snare techniques were used for 56 leads (12.7%). Minor and major procedure-related complications occurred in three (1.3%) and four (1.7%) cases respectively, including one death (0.4%). Severe lead residue occurred in one case. Complete procedural success rate was 96.1% (423/440), and clinical success rate was 98.9% (435/440). The median follow-up period was 18 (1-76) months. No infection- and procedure-related death occurred in our series. Our data demonstrated that high clinical success rate of transvenous lead extraction can be guaranteed by making full use of the standard lead extraction techniques and equipment with individualized modifications.

语种: 英语
所属项目编号: 81001346 ; Z121107001012016 ; 2012YD18035 ; 2011HZ023 ; 2012-1-3-5-(4)-nsh ; 2007 WSZD076 ; 47-11
项目资助者: National Natural Science Foundation of China ; Capital Project ; Shandong Project ; Qingdao Project ; Hospital Project
WOS记录号: WOS:000325817500008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52687
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Qingdao Univ, Affiliated Hosp, Dept Cardiol, Coll Med, Qingdao 266100, Peoples R China
2.Peking Univ Peoples Hosp, Dept Cardiac Electrophysiol, Beijing 100044, Peoples R China
3.Qingdao Univ, Dept Biol, Coll Med, Qingdao 266021, Peoples R China

Recommended Citation:
Chu, Xian-ming,Li, Xue-bin,Zhang, Ping,et al. Re-evaluation of transvenous lead extraction with modified standard technique: A prospective study in 229 patients[J]. JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES,2013,33(5):650-655.
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