Extraction of lumenless pacing leads from the His bundle and left bundle branch area: outcomes of the high-volume centre.

IF 7.9 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Europace Pub Date : 2024-08-30 DOI:10.1093/europace/euae213
Rafal Gardas, Danuta Loboda, Jolanta Biernat, Tomasz Soral, Piotr Kulesza, Sylwia Gladysz-Wanha, Michal Joniec, Mateusz Sajdok, Kamil Zub, Krzysztof S Golba
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引用次数: 0

Abstract

Aims: The application of conduction system pacing (CSP) in clinical practice is growing, and the need for lead extraction will also increase. The data on outcomes and safety of CSP lead extraction are limited. The aim of this study was to assess procedural outcomes and safety of CSP lead removal.

Methods and results: Forty-seven patients from the EXTRACT Registry with the indication for CSP lead removal were enrolled in the study conducted at the Department of Electrocardiology in Katowice, Poland. Extraction technique, outcomes, safety, and complication were evaluated. Forty-three (91.5%) leads were successfully removed, and 41 (87.2%) were removed with traction only. The dwelling time of 28 extracted leads was longer than 1 year, and the oldest extracted lead was implanted for 89 months. Seven (14.9%) leads were removed from the left bundle branch (LBB) area and 36 from the His bundle (HB). Transient complete atrioventricular block occurred during the procedure in two patients. In 27 out of 31 attempts (87.1%), new CSP leads were implanted: nine (33.3%) HB pacing leads and 18 (66.7%) LBB area pacing leads.

Conclusion: The CSP lead extraction is safe and feasible with a low complication rate and high rate of CSP lead reimplantation.

从 His 束和左束支区域提取管腔较小的起搏导线 - 高容量中心的成果。
背景和目的:传导系统起搏(CSP)在临床实践中的应用日益增多,导联取出的需求也将随之增加。有关 CSP 导联取出术的结果和安全性的数据十分有限。本研究旨在评估 CSP 导联取出术的疗效和安全性:方法:波兰卡托维兹心电图部从 EXTRACT 登记处登记了 47 名有 CSP 导联取出指征的患者。对拔除技术、结果、安全性和并发症进行了评估:结果:43 条(91.5%)导联被成功取出,41 条(87.2%)仅通过牵引取出。28个被取出的导联的植入时间超过一年,最长的导联植入时间为89个月。有 7 条(14.9%)导联从左束支区域移除,36 条从 His 束移除。两名患者在手术过程中发生了一过性完全房室传导阻滞。在 31 次尝试中,有 27 次(87.1%)植入了新的 CSP 导联:9 次(33.3%)植入 His 束起搏导联,18 次(66.7%)植入左束支区起搏导联:结论:CSP 导联取出术安全可行,并发症发生率低,CSP 导联再植入率高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Europace
Europace 医学-心血管系统
CiteScore
10.30
自引率
8.20%
发文量
851
审稿时长
3-6 weeks
期刊介绍: EP - Europace - European Journal of Pacing, Arrhythmias and Cardiac Electrophysiology of the European Heart Rhythm Association of the European Society of Cardiology. The journal aims to provide an avenue of communication of top quality European and international original scientific work and reviews in the fields of Arrhythmias, Pacing and Cellular Electrophysiology. The Journal offers the reader a collection of contemporary original peer-reviewed papers, invited papers and editorial comments together with book reviews and correspondence.
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