当前位置: X-MOL 学术Pacing Clin. Electrophysiol. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Transvenous lead extraction: Efficacy and safety of the procedure in octogenarian patients.
Pacing and Clinical Electrophysiology ( IF 1.8 ) Pub Date : 2020-04-03 , DOI: 10.1111/pace.13896
Mario Giannotti Santoro 1 , Luca Segreti 1 , Giulio Zucchelli 1 , Valentina Barletta 1 , Federico Fiorentini 1 , Andrea Di Cori 1 , Raffaele De Lucia 1 , Maria Grazia Bongiorni 1
Affiliation  

BACKGROUND managing elderly patients with infection or malfunction deriving from a cardiac implantable electronic device (CIED) may be challenging. The aim of this study was to evaluate safety and efficacy of mechanical transvenous lead extraction (TLE) in elderly patients. METHODS patients who had undergone TLE in single tertiary referral center were divided in two groups (Group 1: ≥80 years; group 2:<80 years) and their acute and chronic outcomes were compared. All patients were treated with manual traction or mechanical dilatation. RESULTS our analysis included 1316 patients (group 1: 202, group 2: 1114 patients), with a total of 2513 leads extracted. Group 1 presented more comorbidities, more pacemakers than ICDs, whereas the dwelling time of the oldest lead and the number of leads were similar, irrespectively of patient's age. In group 1 the radiological success rate for lead was higher (99.0% vs 95.9%; P<0.001) and the fluoroscopy time lower (13.0 vs 15.0 minutes; P = 0.04) than in group 2. Clinical success was reached in 1273 patients (96.7%), without significant differences between groups (group 1: 98.0% vs group 2: 96.4%; P = 0.36). Major complications occurred in 10 patients (0.7%) without significative differences between patients with more or less than 80 years (group 1: 1.5% vs group 2: 0.6%; P = 0.24) and with no procedure-related deaths in elderly group. CONCLUSIONS mechanical TLE in elderly patients is a safe and effective procedure. In the over-80s, a comparable incidence of major complications with younger patients was observed, with at least a similar efficacy of the procedure. This article is protected by copyright. All rights reserved.

中文翻译:

静脉吸铅:对于八十岁以上患者,该方法的有效性和安全性。

背景技术管理患有由心脏可植入电子设备(CIED)引起的感染或故障的老年患者可能是具有挑战性的。这项研究的目的是评估老年人中机械静脉铅提取(TLE)的安全性和有效性。方法将在单个三级转诊中心接受过TLE的患者分为两组(第1组:≥80岁;第2组:<80岁),并比较其急性和慢性结局。所有患者均接受手动牵引或机械扩张治疗。结果我们的分析包括1316例患者(第1组:202,第2组:1114例),共提取了2513根导线。与ICD相比,第1组的合并症更多,起搏器更多,而最老的导线的驻留时间和导线的数量是相似的,而与患者的年龄无关。与第2组相比,第1组的铅放射成功率更高(99.0%比95.9%; P <0.001),并且透视时间更短(13.0比15.0分钟; P = 0.04)。组之间无显着差异(96.7%)(组1:98.0%与组2:96.4%; P = 0.36)。80岁以上(10:1:1.5%vs 2:2:0.6%; P = 0.24)的患者中有10例患者(0.7%)发生重大并发症,而在老年组中没有与手术相关的死亡。结论老年患者机械性TLE是一种安全有效的方法。在80年代末,观察到年轻患者发生重大并发症的发生率相当,且该过程的疗效至少相似。本文受版权保护。版权所有。
更新日期:2020-04-23
down
wechat
bug