当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > Multidisciplinary approach to transvenous lead extraction: a single center's experience.

Multidisciplinary approach to transvenous lead extraction: a single center's experience.

Abstract：

OBJECTIVE:To evaluate the success and complication rates of a single center's multidisciplinary approach to transvenous lead extraction. SETTING:One university hospital. PARTICIPANTS:One hundred ninety-five patients scheduled for transvenous lead extraction. INTERVENTIONS:A multidisciplinary approach to transvenous lead extraction involving cardiac surgery, electrophysiology, perfusion, and cardiac anesthesiology. MEASUREMENTS AND MAIN RESULTS:A case series of 351 lead extractions performed in 195 patients over a 42-month period. Indications, success rates, and complication rates were tracked and retrospectively evaluated and reported. Indications for lead extraction included 53.3% because of lead malfunction, 36.9% because of infection, with the remaining 9.7% from other categories such as venous stenosis. The lead extraction rate was 99.7%, with complete removal in 97.7%. The overall major complication rate was 3.08%. After an initial 1-year period of performing lead extractions, the overall major complication rate reduced to 1.23%. CONCLUSIONS:Transvenous lead extraction generally is a safe procedure, but not without complications. A multidisciplinary approach involving cardiac surgery, electrophysiology, and cardiac anesthesiology allows for successful management and the ability to rapidly manage major complications.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Maus TM,Shurter J,Nguyen L,Birgersdotter-Green U,Pretorius V

doi

10.1053/j.jvca.2014.11.010

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

265-70

issue

2

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(14)00548-5

journal_volume

29

pub_type

杂志文章

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