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学科主题临床医学
Prevalence of venous occlusion in patients referred for lead extraction: implications for tool selection
Li, Xuebin1,2; Ze, Feng2,3; Wang, Long2,3; Li, Ding2,3; Duan, Jiangbo2,3; Guo, Fei1; Yuan, Cuizhen2,3; Li, Yuguang1; Guo, Jihong2,3
关键词Venous occlusion Infection Pacemaker leads Phlebography Lead extraction
刊名EUROPACE
2014-12-01
DOI10.1093/europace/euu124
16期:12页:1795-1799
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems
研究领域[WOS]Cardiovascular System & Cardiology
关键词[WOS]IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR ; PACEMAKER LEADS ; DEVICE UPGRADE ; ACCESS VEIN ; OBSTRUCTION ; THROMBOSIS ; INSERTION ; REVISION
英文摘要

Aims Data concerning the incidence of venous obstruction in patients referred for lead extraction is limited. Thus, we aimed to assess the incidence of venous obstruction in patients referred for lead extraction and the implications for tool selection.

Methods and results Contrast venography of the access vein was obtained in 202 patients (147 men; mean age, 62.4 +/- 14.5 years) scheduled for lead extraction. The indication for lead extraction included infection (n = 145, 72%) and other causes (n = 57, 28%). Two patients with device infection had superior vena caval occlusion. Access vein occlusion occurred in 6(11%) patients without infection vs. 46 (32%) patients with infection [P = 0.002; odds ratio (OR) 3.94; 95% confidence interval (CI) 1.58-9.87]. No significant differences between occluded and non-occluded patients were seen for age, sex, device type, number of leads, time from implant of the initial lead, or anticoagulation therapy (all P > 0.05). Procedural duration and fluoroscopy exposure time were significantly lower in the open group than in the occluded group (P < 0.05). Patients with venous occlusion required more advanced tools for lead extraction, such as dilator sheaths, evolution sheaths, and needle′s eye snares (P = 0.019).

Conclusion Both systemic and local infections are associated with increased risk of access vein occlusion. We found no support for the hypothesis that venous occlusion increases with the number of leads present. Lead extraction was more difficult in patients with venous occlusion, requiring advanced tools and more time.

语种英语
WOS记录号WOS:000347104900019
项目编号Z121107001012016
资助机构Beijing Science and Technology Commission
引用统计
被引频次:14[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65567
专题北京大学第二临床医学院
北京大学第二临床医学院_心血管内科
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.Shantou Univ Med Coll, Affiliated Hosp 1, Dept Cardiol, Shantou City 515000, Guangdong, Peoples R China
2.Peking Univ Peoples Hosp, Dept Cardiac Electrophysiol, Beijing 100044, Peoples R China
3.Minist Educ, Key Lab Mol Cardiovasc Sci, Dept Cardiol, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Li, Xuebin,Ze, Feng,Wang, Long,et al. Prevalence of venous occlusion in patients referred for lead extraction: implications for tool selection[J]. EUROPACE,2014,16(12):1795-1799.
APA Li, Xuebin.,Ze, Feng.,Wang, Long.,Li, Ding.,Duan, Jiangbo.,...&Guo, Jihong.(2014).Prevalence of venous occlusion in patients referred for lead extraction: implications for tool selection.EUROPACE,16(12),1795-1799.
MLA Li, Xuebin,et al."Prevalence of venous occlusion in patients referred for lead extraction: implications for tool selection".EUROPACE 16.12(2014):1795-1799.
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