August 21, 2015Pacing and Clinical ElectrophysiologyOpen Access

Outcomes and Complications of Lead Removal: Can We Establish a Risk Stratification Schema for a Collaborative and Effective Approach?

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Why the study?

What are the outcomes and risk factors for complications in patients undergoing transvenous lead removal?

Structured PICO

What are the outcomes and risk factors for complications in patients undergoing transvenous lead removal?

Population

652 patients (age 64 ± 17 years, 68% male) undergoing 702 procedures for transvenous lead removal (1,378 leads removed) at a single center (Mayo Clinic) from January 2001 to October 2012.

Intervention

Transvenous lead removal (44% requiring laser-assisted extraction)

Outcome

Outcomes and complications of transvenous lead removal (major complication rate and procedure failure)safety

Transvenous lead removal has a low major complication rate (1.9%), and a risk stratification scheme based on lead age and type can help guide whether extractions are best performed in the electrophysiology lab or operating room.

Discussion

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Implication

Risk scheme may guide EP lab vs OR extraction; leaves open prospective validation before practice change.

Cite This Study

Fu et al. (2015) studied this question.

synapsesocial.com/papers/6a7114375d37378ac1de3deb https://doi.org/10.1111/pace.12736

Topics

Cardiac device therapy

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Outcomes and Complications of Lead Removal: Can We Establish a Risk Stratification Schema for a Collaborative and Effective Approach?

Structured PICO

Discussion

Implication

Cite This Study

Topics

Outcomes and Complications of Lead Removal: Can We Establish a Risk Stratification Schema for a Collaborative and Effective Approach?

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider