Academic Journal
Safety and Efficacy of Right- Versus Left-Sided Transvenous Lead Extraction.
| Τίτλος: | Safety and Efficacy of Right- Versus Left-Sided Transvenous Lead Extraction. |
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| Συγγραφείς: | Molitor N; Division of Electrophysiology, Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland., Wiederkehr C; Division of Electrophysiology, Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland., Steffel J; Division of Electrophysiology, Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland., Häberlin A; Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.; ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland., Breitenstein A; Division of Electrophysiology, Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland., Hofer D; Division of Electrophysiology, Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland. |
| Πηγή: | Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2026 Oct; Vol. 37 (10), pp. 2341-2347. Date of Electronic Publication: 2026 Sep 19. |
| Τύπος έκδοσης: | Journal Article; Comparative Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Blackwell Country of Publication: United States NLM ID: 9010756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8167 (Electronic) Linking ISSN: 10453873 NLM ISO Abbreviation: J Cardiovasc Electrophysiol Subsets: MEDLINE |
| Imprint Name(s): | Publication: Malden, MA : Blackwell Original Publication: Mt. Kisco, N.Y. : Futura Pub., c1990- |
| Ιατρικοί όροι (MeSH): | Device Lead Extraction*/adverse effects , Device Removal*/adverse effects , Device Removal*/methods , Pacemaker, Artificial*/adverse effects , Defibrillators, Implantable*/adverse effects , Prosthesis-Related Infections*/surgery , Prosthesis-Related Infections*/diagnostic imaging , Prosthesis-Related Infections*/diagnosis, Humans ; Retrospective Studies ; Treatment Outcome ; Female ; Male ; Time Factors ; Risk Factors ; Aged ; Middle Aged ; Risk Assessment ; Switzerland ; Aged, 80 and over |
| Περίληψη: | Background and Aims: Transvenous lead extraction (TLE) is increasingly performed for malfunction or infection of cardiac implantable electronic devices. Because of anatomic differences, TLE for right-sided (RS) electrodes may differ in outcome. This study aimed to evaluate whether RS TLE differs in patient characteristics and outcomes compared to left-sided TLE. Methods: We retrospectively analyzed patients who underwent TLE at the University Hospital Zurich from 2013 until 2023 regarding clinical and radiological success and complications. Results: A total of 556 patients underwent 568 TLE from January 2013 until December 2023. Patients with RS TLE procedures (n = 147, 25.9%) were older, more often PM-dependent, had longer lead dwell time, more leads with passive fixation and were more often extracted for infection. RS TLE procedures had a longer procedure duration (130 vs. 108 min, p = 0.002), more often needed a snare-bailout strategy (22% vs. 10%, p = 0.0.45), resulted in lower radiological success rates (88.4% vs. 93.8%, p = 0.045) and more major as well as minor complication rates. Conclusion: In our retrospective single-center analysis, RS TLE Procedures were more challenging concerning patient characteristics and resulted in lower TLE success as well as higher complication rates. (© 2026 The Author(s). Journal of Cardiovascular Electrophysiology published by Wiley Periodicals LLC.) |
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| Contributed Indexing: | Keywords: complication; lead extraction; right; right‐sided; success |
| Entry Date(s): | Date Created: 20260919 Date Completed: 20261014 Latest Revision: 20261016 |
| Update Code: | 20261016 |
| PubMed Central ID: | PMC13661777 |
| DOI: | 10.1111/jce.70497 |
| PMID: | 42762509 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1540-8167 |
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| DOI: | 10.1111/jce.70497 |