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Re-evaluation of transvenous lead extraction with modified standard technique: A prospective study in 229 patients
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
2013-10-01
DOI10.1007/s11596-013-1175-y
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
WOS记录号WOS:000325817500008
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52687
专题北京大学第二临床医学院
北京大学临床肿瘤学院_药剂科
北京大学精神卫生研究所_计算机室
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
推荐引用方式
GB/T 7714
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.
APA Chu, Xian-ming.,Li, Xue-bin.,Zhang, Ping.,Wang, Long.,Li, Ding.,...&Guo, Ji-hong.(2013).Re-evaluation of transvenous lead extraction with modified standard technique: A prospective study in 229 patients.JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES,33(5),650-655.
MLA Chu, Xian-ming,et al."Re-evaluation of transvenous lead extraction with modified standard technique: A prospective study in 229 patients".JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES 33.5(2013):650-655.
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