What question did this study set out to answer?

To evaluate the feasibility, efficacy, and safety of transvenous pacemaker lead extraction using interlocking stylets and dilator sheaths via the subclavian route in young patients with and without congenital heart disease.

May 1, 1996Pacing and Clinical Electrophysiology

Lead Extraction in Young Patients With and Without Congenital Heart Disease Using the Subclavian Approach

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Why the study?

Is pacemaker lead removal using interlocking stylets and dilator sheaths via the subclavian approach safe and effective in young patients with and without congenital heart disease?

Population

13 young patients aged 9-26 years, including 8 with congenital heart disease, requiring removal of pacemaker…

Design

Case_series

Authors

RFRichard A. FriedmanUniversity of Southern California HZHEIDI VAN ZANDTBaylor College of Medicine ECElizabeth CollinsBaylor College of Medicine

Discussion

Member takes

Implication

Supports feasibility of subclavian extraction in young patients with CHD; leaves open confirmation in prospective studies.

Key Points

To evaluate the feasibility, efficacy, and safety of transvenous pacemaker lead extraction using interlocking stylets and dilator sheaths via the subclavian route in young patients with and without congenital heart disease.
Assessed 13 consecutive young patients (aged 9–26 years, median 13; 8 with congenital heart disease) undergoing extraction of leads implanted for 54 ± 24 months (range 19–94).
Performed transvenous lead extraction via the left (n=13) or right (n=4) subclavian vein utilizing interlocking stylets and metal or flexible dilator sheaths.
Achieved complete removal in 17 of 18 targeted leads, with one lead partially retained in the left subclavian vein.
Allowed successful reimplantation of new pacemaker leads through the same subclavian vein in 11 of 13 patients.
Observed zero blood transfusions and no cardiac structural damage on postoperative echocardiography, with only one minor complication of late wound dehiscence.

Structured PICO

Is pacemaker lead removal using interlocking stylets and dilator sheaths via the subclavian approach safe and effective in young patients with and without congenital heart disease?

Population

13 young patients (7 male, 6 female) aged 9-26 years (median 13), including 8 with congenital heart disease, requiring removal of pacemaker leads implanted for 54 +/- 24 months.

Intervention

Pacemaker lead removal using interlocking stylets and metal or flexible dilator sheaths via the subclavian approach.

Outcome

Procedural success of lead removal and complications.

Lead removal using interlocking stylets and dilator sheaths via the subclavian approach is an effective and safe technique in young patients, including those with congenital heart disease.

Cite This Study

Friedman et al. (1996) studied this question.

synapsesocial.com/papers/6a7322dbef2d17db5ca0b9d6 https://doi.org/10.1111/j.1540-8159.1996.tb03359.x

Topics

Congenital heart disease adults Echocardiography

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Lead Extraction in Young Patients With and Without Congenital Heart Disease Using the Subclavian Approach

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Lead Extraction in Young Patients With and Without Congenital Heart Disease Using the Subclavian Approach

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider