Predictors of Percutaneous Lead Extraction Major Complications: A Tertiary Center Experience

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dc.contributor.authorTiryaki, Muhammet Mücahit
dc.contributor.authorEmren, Zeynep Yapan
dc.contributor.authorEmren, Volkan
dc.contributor.authorÖzdemir, Emre
dc.contributor.authorKocabaş, Uğur
dc.contributor.authorKırış, Tuncay
dc.contributor.authorKaraca, Mustafa
dc.date.accessioned2025-03-20T09:45:09Z
dc.date.available2025-03-20T09:45:09Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractBackground and Aim: Over the years, transvenous lead extraction (TLE) procedures (TLEP) have been increasing because of factors such as infection, loss of device function, and lead-related complications. This study aimed to evaluate the factors affecting major complications during TLEP. Materials and Methods: Between January 2011 and May 2023, patients who underwent TLE of cardiac implantable electronic devices were included in the study. The demographic and procedural features of all patients were evaluated according to major complications. Results: A total of 121 consecutive patients (192 leads) underwent TLEP. The mean age was 63 ± 17.3 years, and 76% were male. Most leads were active fixation leads (67%) and 74 procedures (61%) required an extraction device. The mean lead dwell time was 5.6 ± 5.2 years. Major complications were observed in 16 procedures (13.2%) and 5 of them (4.1%) resulted in exitus. When we compared the groups according to the major complication, the rates of chronic obstructive pulmonary disease (4 vs. 3; P = 0.020), existence of passive fixation leads (PFL) (24 vs. 9; P = 0.013), and device indication (P = 0.012) were higher in the complication group. Multivariate analysis revealed that only the presence of PFL was associated with major complications. (odds ratio 4.486, 95% confidence interval 1.365-14.748; P = 0.013) Conclusion: The present study showed that the presence of a PFL is a predictive factor for major complications. © 2024 by the Cardiovascular Academy Society.
dc.identifier.doi10.4274/ijca.2024.91885
dc.identifier.endpage41
dc.identifier.issn2405-819X
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85198826044
dc.identifier.scopusqualityQ4
dc.identifier.startpage36
dc.identifier.urihttps://doi.org/10.4274/ijca.2024.91885
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2150
dc.identifier.volume10
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherGalenos Publishing House
dc.relation.ispartofInternational Journal of the Cardiovascular Academy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250319
dc.subjectcardiac implantable electronic devices
dc.subjectPercutaneous lead extraction
dc.subjecttransvenous lead extraction
dc.titlePredictors of Percutaneous Lead Extraction Major Complications: A Tertiary Center Experience
dc.typeArticle

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