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العنوان
Immediate and short-term outcomes of transvenous lead extraction in patients with infected cardiac electronic devices in comparison with non-infected devices/
المؤلف
Ahmed, Ashraf Abdelaziz Elamin Mohamed.
هيئة الاعداد
مشرف / مصطفى محمد نوار
مشرف / أنطونيو كورنيس
مشرف / جيهان مجدى يوسف
مشرف / أحمد مختار عبد العظيم
الموضوع
Cardiology. Angiology.
تاريخ النشر
2023.
عدد الصفحات
89 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب (متفرقات)
تاريخ الإجازة
20/8/2023
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Department of Cardiology and Angiology
الفهرس
Only 14 pages are availabe for public view

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Abstract

TLE has evolved substantially over the past years and has become an essential technique in the electrophysiology laboratory. Almost half of the patients undergoing TLE suffer from device-related infection which ranges from isolated pocket infection to bacteremia and sepsis. The other 50% of patients indicated for TLE have lead malfunctions, abandoned leads, recalled leads, lead-related SVC obstruction, cardiac perforation, severe tricuspid regurgitation, arrhythmia, or chronic pain, or require device upgrade, MRI, or radiotherapy for cancer.
The aim of this study was to compare patients undergoing transvenous pacemaker lead extraction due to infectious causes with those undergoing lead extraction due to non-infectious causes regarding the short-term outcomes (procedural success, clinical success, complications, and death).
200 consecutive patients (140 retrospective and 60 prospective) patients indicated for TLE after at least one year of lead implantation were included in the study. Patients who underwent the extraction of extravascular leads or lead fragments were excluded. The subjects were divided into infected and non-infected groups based on the indication for TLE.
Data were collected for each patient including demographic characteristics, comorbidities, echocardiographic data, as well as lead characteristics, location, and indwelling time. Procedural details were recorded including the type of anesthesia, the number and type of tools used for each lead and the procedural duration. The immediate procedural outcomes, namely clinical and procedural success rates were recorded. Patients were followed up for the occurrence of complications or death for 1 month after the procedure.