John de Heide

Chapter 7 122 Table 2 Procedural details and outcome N=264 General anesthesia 210 (79.5%) Extraction tool used:a - Locking stylet 156 (59.1%) - Powered sheath 112 (42.4%) - Femoral snare 144 (54.5%) Procedure time (min), median (IQR) 102 (70–140) Fluoroscopy time (min), median (IQR) 12 (7–22) Leads extracted per case, median (IQR) 2 (1–2) Procedural outcome - Complete procedural success 238 (90.2%) - Clinical success 258 (97.7%) - Failure 6 (2.3%) Reimplantation CIED during same hospital admission 193 (73.1%) Duration of hospital stay (days), median (IQR) 4 (3–5) Radiological lead outcomeb - All leads (N = 477) 94.1%/4.8%/1.0% - RA lead (N = 158) 96.8%/2.5%/0.6% - RV lead (N = 101) 92.1%/6.9%/1.0% - CS lead (N = 42) 90.5%/9.5%/0% - ICD lead (N = 152) 94.7%/3.9%/1.3% ○ Single coil lead (N = 111)c 93.7%/5.4%/0.9% ○ Dual coil lead (N = 41)c 97.6%/0%/2.4% - Abandoned RA lead (N = 7) 100%/0%/0% - Abandoned RV lead (N = 10) 100%/0%/0% - Abandoned LV lead (N = 1) 0%/100%/0% - Abandoned ICD lead (N = 6) 66.7%/16.7%/16.7% Data are presented as n (%), unless stated otherwise. CIED cardiac implantable electrical device, CS coronary sinus, ICD implantable cardioverter-defibrillator, RA right atrial, RV right ventricular, TLE transvenous lead extraction a Different extraction tools could be used in one procedure b Percentages denote complete radiological success, partial radiological success (< 4 cm residual lead portion), and failure, respectively c There was no difference in radiological outcome between single and dual-coil ICD leads (P = 0.25)

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