scholarly journals Lead Extraction in Congenital Heart Disease Patients – Indications, Technique and Experience

10.5772/20934 ◽  
2011 ◽  
Author(s):  
Philip Chang ◽  
Miguel Salazar ◽  
Michael Cao ◽  
David Cesario
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction

Laser Lead Extraction in Congenital Heart Disease: A Case-Controlled Study

2013 ◽  
Vol 36 (3) ◽  
pp. 372-380 ◽  
Author(s):  
ANTHONY C. McCANTA ◽  
MELISSA H. KONG ◽  
MICHAEL P. CARBONI ◽  
RUTH A. GREENFIELD ◽  
PATRICK M. HRANITZKY ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction ◽  
Controlled Study ◽  
Laser Lead Extraction

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

1996 ◽  
Vol 19 (5) ◽  
pp. 778-783 ◽  
Author(s):  
RICHARD A.FRIEDMAN ◽  
HEIDI ZANDT ◽  
ELIZABETH COLLINS ◽  
MARC LEGRAS ◽  
JAMES PERRY
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Young Patients ◽  
Lead Extraction

Abstract 2141: Lead Extraction in Pediatric and Congenital Heart Disease Patients

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Joseph Atallah ◽  
Charles I Berul ◽  
Mark E Alexander ◽  
John K Triedman ◽  
Edward P Walsh ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Young Adult ◽  
Congenital Heart ◽  
Extraction Procedure ◽  
Right Atrial ◽  
Lead Extraction ◽  
Extraction Procedures ◽  
Simple Extraction ◽  
Complex Extraction

Background: Transvenous pacemaker and defibrillator device implant is a rapidly growing practice in pediatric and young adult congenital heart disease. The need for lead extraction is an associated eventuality in certain patients. Although several techniques have emerged in the past few years, the safety and efficacy of lead extraction in the pediatric population remains unknown. We report our experience with lead extraction using simple traction or complex extraction methods. Methods: Retrospective cohort study of all patients having undergone a lead extraction at Children’s Hospital Boston from 2002 to 2008. Lead extraction was defined as simple if only traction was required and complex if it required the use of an interlocking stylet. Results: A total of 114 patients underwent 124 lead extraction procedures with a total of 172 extraction attempts. The average age was 17.1 (2.47– 48.23) years at lead implant and 23.0 (6 –52.7) years at lead extraction. Congenital heart disease was present in 57.3% (71/124) of patients. Extraction by simple traction was achieved for 51 leads (mean lead age=3.1 years), while the remaining 121 leads required complex extraction (mean lead age=7.5 years), of which 32 were abandoned. Of the remaining leads 83/89 (93%) were extracted successfully. Only 2/55 (4%) leads >7.5 years of age could be extracted with simple traction. However, 63/99 (64%) leads >1 and <7.5 years of age were a complex extraction. Multivariable logistic regression analysis showed that a younger lead age (OR=0.7, 95% CI 0.6 – 0.9, P<0.01), silicone-type of lead insulation (OR=7.6, 95% CI 1.6 –36.7, P=0.01) and a lead in the atrial position (OR=3.0, 95% CI 1.1– 8.7, P=0.05) were independent predictors of a simple extraction. There was only one major complication consisting of right atrial perforation and tamponade that was controlled with surgical exploration. There was no mortality related to lead extraction procedures. Conclusion: The majority of leads implanted in pediatric and young adult patients with congenital heart disease can be extracted successfully. Though certain lead characteristics correlated with a simple extraction procedure, the majority of leads >1 year of age will require a complex extraction technique.

scholarly journals Lead extraction outcomes in patients with congenital heart disease

EP Europace ◽  
2016 ◽  
pp. euw049 ◽  
Author(s):  
Erin A. Fender ◽  
Ammar M. Killu ◽  
Bryan C. Cannon ◽  
Paul A. Friedman ◽  
Christopher J. Mcleod ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction

scholarly journals Lead Extraction in Pediatric and Congenital Heart Disease Patients

2010 ◽  
Vol 3 (5) ◽  
pp. 437-444 ◽  
Author(s):  
Frank Cecchin ◽  
Joseph Atallah ◽  
Edward P. Walsh ◽  
John K. Triedman ◽  
Mark E. Alexander ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction

Transvenous Lead Extraction in Patients with Grownup Congenital Heart Disease

2021 ◽  
Author(s):  
J. Petersen ◽  
Y. Yildirim ◽  
T. Tönnis ◽  
H. Reichenspurner ◽  
S. Pecha
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction

Abstract 10903: Extraction Outcomes in Patients With Congenital Heart Disease

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Erin A Fender ◽  
Ammar M Killu ◽  
David O Hodge ◽  
Bryan C Cannon ◽  
Paul A Friedman ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction ◽  
Control Group ◽  
Cardiac Devices ◽  
Device Infection ◽  
Significant Difference ◽  
And Gender

Introduction: Patients with congenital heart disease (CHD) frequently require implantable cardiac devices. Device infection or malfunction may necessitate lead extraction. Extraction may be challenging due to long lead dwell times, anatomic abnormalities, and prior cardiac surgery. Little is known about extraction outcomes in the CHD population. Methods and Results: This retrospective study included 41 CHD patients and 82 age and gender matched controls that underwent lead extractions at two centers between 2001-2014. Only patients with leads older than 12 months were included. There were 79 leads in CHD patients and 150 in controls. Patients with CHD had a mean age of 39±17 years at extraction and on average their leads had been implanted for 81±84 months, this was not significantly different from the control group. Eighty eight percent of CHD patients had 1 or more cardiac surgeries as compared to only 22% of controls (p<0.001). The number of abandoned leads was also significantly different with 16 abandoned leads in the CHD group and 3 in controls (p<0.001). There was no statistically significant difference in extraction techniques between the groups. Complete extraction was achieved in 94% of patients in both groups. There were no CHD group complications. Control group complications included 3 SVC lacerations requiring sternotomy (one was fatal), and 1 ventricular perforations with tamponade requiring sternotomy. None of these patients had a history of cardiac surgery. The average age of leads in patients with a complication was 15.3 years which was older than the mean lead age seen in the CHD and control populations which was 6.75 and 4.6 years respectively. Conclusions: Lead extraction can be safely performed in patients with CHD. Despite anatomic abnormalities and previous cardiac surgery, the outcome of lead extraction in patients with CHD is comparable to controls. Prior cardiac surgery may lower the risk for extraction complications.

scholarly journals Transvenous Lead Extraction in Adults With Congenital Heart Disease

2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Jean-Baptiste Gourraud ◽  
Marie-A Chaix ◽  
Azadeh Shohoudi ◽  
Pierre Pagé ◽  
Marc Dubuc ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction

Laser Lead Extraction in Adult Congenital Heart Disease

2007 ◽  
Vol 18 (5) ◽  
pp. 507-511 ◽  
Author(s):  
PAUL KHAIRY ◽  
JEAN-FRANÇOIS ROUX ◽  
MARC DUBUC ◽  
BERNARD THIBAULT ◽  
PETER G. GUERRA ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Lead Extraction ◽  
Adult Congenital ◽  
Laser Lead Extraction

scholarly journals Effective and safe lead extraction using the bidirectional rotational Evolution® sheath in a child with congenital heart disease

2017 ◽  
Vol 34 (1) ◽  
pp. 93-95 ◽  
Author(s):  
Federico Migliore ◽  
Alberto Cipriani ◽  
Sonia Ferretto ◽  
Dan Hadas ◽  
Sabino Iliceto ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Lead Extraction ◽  
Rotational Evolution
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