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The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction

Background: Little is known about lead-related venous stenosis/occlusion (LRVSO), and the influence of LRVSO on the complexity and outcomes of transvenous lead extraction (TLE) is debated in the literature. Methods: We performed a retrospective analysis of venograms from 2909 patients who underwent...

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Autores principales: Czajkowski, Marek, Jacheć, Wojciech, Polewczyk, Anna, Kosior, Jarosław, Nowosielecka, Dorota, Tułecki, Łukasz, Stefańczyk, Paweł, Kutarski, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465436/
https://www.ncbi.nlm.nih.gov/pubmed/34574558
http://dx.doi.org/10.3390/ijerph18189634
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author Czajkowski, Marek
Jacheć, Wojciech
Polewczyk, Anna
Kosior, Jarosław
Nowosielecka, Dorota
Tułecki, Łukasz
Stefańczyk, Paweł
Kutarski, Andrzej
author_facet Czajkowski, Marek
Jacheć, Wojciech
Polewczyk, Anna
Kosior, Jarosław
Nowosielecka, Dorota
Tułecki, Łukasz
Stefańczyk, Paweł
Kutarski, Andrzej
author_sort Czajkowski, Marek
collection PubMed
description Background: Little is known about lead-related venous stenosis/occlusion (LRVSO), and the influence of LRVSO on the complexity and outcomes of transvenous lead extraction (TLE) is debated in the literature. Methods: We performed a retrospective analysis of venograms from 2909 patients who underwent TLE between 2008 and 2021 at a high-volume center. Results: Advanced LRVSO was more common in elderly men with a high Charlson comorbidity index. Procedure duration, extraction of superfluous leads, occurrence of any technical difficulty, lead-to-lead binding, fracture of the lead being extracted, need to use alternative approach and lasso catheters or metal sheaths were found to be associated with LRVSO. The presence of LRVSO had no impact on the number of major complications including TLE-related tricuspid valve damage. The achievement of complete procedural or clinical success did not depend on the presence of LRVSO. Long-term mortality, in contrast to periprocedural and short-term mortality, was significantly worse in the groups with LRSVO. Conclusions: LRVSO can be considered as an additional TLE-related risk factor. The effect of LRVSO on major complications including periprocedural mortality and on short-term mortality has not been established. However, LRVSO has been associated with poor long-term survival.
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spelling pubmed-84654362021-09-27 The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction Czajkowski, Marek Jacheć, Wojciech Polewczyk, Anna Kosior, Jarosław Nowosielecka, Dorota Tułecki, Łukasz Stefańczyk, Paweł Kutarski, Andrzej Int J Environ Res Public Health Article Background: Little is known about lead-related venous stenosis/occlusion (LRVSO), and the influence of LRVSO on the complexity and outcomes of transvenous lead extraction (TLE) is debated in the literature. Methods: We performed a retrospective analysis of venograms from 2909 patients who underwent TLE between 2008 and 2021 at a high-volume center. Results: Advanced LRVSO was more common in elderly men with a high Charlson comorbidity index. Procedure duration, extraction of superfluous leads, occurrence of any technical difficulty, lead-to-lead binding, fracture of the lead being extracted, need to use alternative approach and lasso catheters or metal sheaths were found to be associated with LRVSO. The presence of LRVSO had no impact on the number of major complications including TLE-related tricuspid valve damage. The achievement of complete procedural or clinical success did not depend on the presence of LRVSO. Long-term mortality, in contrast to periprocedural and short-term mortality, was significantly worse in the groups with LRSVO. Conclusions: LRVSO can be considered as an additional TLE-related risk factor. The effect of LRVSO on major complications including periprocedural mortality and on short-term mortality has not been established. However, LRVSO has been associated with poor long-term survival. MDPI 2021-09-13 /pmc/articles/PMC8465436/ /pubmed/34574558 http://dx.doi.org/10.3390/ijerph18189634 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Czajkowski, Marek
Jacheć, Wojciech
Polewczyk, Anna
Kosior, Jarosław
Nowosielecka, Dorota
Tułecki, Łukasz
Stefańczyk, Paweł
Kutarski, Andrzej
The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction
title The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction
title_full The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction
title_fullStr The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction
title_full_unstemmed The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction
title_short The Influence of Lead-Related Venous Obstruction on the Complexity and Outcomes of Transvenous Lead Extraction
title_sort influence of lead-related venous obstruction on the complexity and outcomes of transvenous lead extraction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465436/
https://www.ncbi.nlm.nih.gov/pubmed/34574558
http://dx.doi.org/10.3390/ijerph18189634
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