PMID- 23575705
OWN - NLM
STAT- MEDLINE
DCOM- 20130610
LR  - 20191210
IS  - 1897-4279 (Electronic)
IS  - 0022-9032 (Linking)
VI  - 71
IP  - 2
DP  - 2013
TI  - Safety and effectiveness of transvenous extraction of pacemaker and implantable 
      cardioverter-defibrillator leads in patients under or over 80 years of age.
PG  - 130-5
LID - 10.5603/KP.2013.0005 [doi]
AB  - BACKGROUND: Progressive aging of the population and the increasing number of 
      complications of electrotherapy procedures are the main reasons of a remarkable 
      increase in the number of transvenous extraction procedures of pacemaker (PM) and 
      implantable cardioverter-defibrillator (ICD) leads in the elderly patients. AIM: 
      To assess the safety and effectiveness of such procedures in patients under or 
      over 80 years of age. The study included all patients who underwent transvenous 
      PM/ICD lead extraction in 2003-2011. METHODS: All patients were divided into two 
      groups based on their age at the time of the procedure: group A included patients 
      under 80 years of age (134 patients; 97 male, 37 female) and group B included 
      patients over 80 years of age (26 patients; 16 male, 10 female). RESULTS: No 
      differences were found between the two groups in terms of gender proportions, 
      comorbidities, New York Heart Association (NYHA) functional class, and left 
      ventricular ejection fraction. In total, 220 leads were removed (group A: 63 
      defibrillating and 122 pacing leads, group B: 2 defibrillating and 33 pacing 
      leads). The most common indication for the lead removal procedure in both groups 
      was infection, either in the form of PM/ICD pocket infection (46 and 13 cases, 
      respectively) or infective endocarditis (18 and 2 cases, respectively). 
      Procedural outcomes in both groups were not statistically different in terms of 
      the final outcome or complication rates. The results in groups A and B were as 
      follows: complete success 95.5% vs. 96.2%, respectively, clinical success 3% vs. 
      3.8%, respectively, and failure 1.5% vs. 0%, respectively, with no significant 
      differences between the groups. No major complications of the procedure were 
      observed in either of the groups. CONCLUSIONS: Our findings indicate that 
      transvenous extraction of PM/ICD leads appears to be a safe and effective 
      procedure both in relatively younger patients and in patients over 80 years of 
      age.
FAU - Kempa, Maciej
AU  - Kempa M
AD  - Department of Cardiology and Electrotherapy, Medical University of Gdansk, 
      Poland. kempa@gumed.edu.pl
FAU - Budrejko, Szymon
AU  - Budrejko S
FAU - Piepiorka, Marta
AU  - Piepiorka M
FAU - Rogowski, Jan
AU  - Rogowski J
FAU - Raczak, Grzegorz
AU  - Raczak G
FAU - Kozlowski, Dariusz
AU  - Kozlowski D
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - Poland
TA  - Kardiol Pol
JT  - Kardiologia polska
JID - 0376352
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Defibrillators, Implantable/adverse effects
MH  - Device Removal/*methods
MH  - Electrodes, Implanted/adverse effects
MH  - Endocarditis/etiology/surgery
MH  - Equipment Failure
MH  - Equipment Failure Analysis
MH  - Female
MH  - Foreign Bodies/complications/*surgery
MH  - *Heart
MH  - Humans
MH  - Male
MH  - Pacemaker, Artificial/adverse effects
MH  - Treatment Outcome
EDAT- 2013/04/12 06:00
MHDA- 2013/06/12 06:00
CRDT- 2013/04/12 06:00
PHST- 2012/12/31 00:00 [received]
PHST- 2013/04/12 06:00 [entrez]
PHST- 2013/04/12 06:00 [pubmed]
PHST- 2013/06/12 06:00 [medline]
AID - VM/OJS/KP/7156 [pii]
AID - 10.5603/KP.2013.0005 [doi]
PST - ppublish
SO  - Kardiol Pol. 2013;71(2):130-5. doi: 10.5603/KP.2013.0005.