Ain Shams University Experience in Different Methods of Percutaneous Extraction of Pacemaker and Defibrillation Leads
Hassan Shehata Hassan El dawy;
Abstract
L
ead extraction is a specializied procedure with well defined indications, excellent results, few possible complications as described in several guidelines and scientific documents on the pathway for training and accreditation (Deharo et al., 2012).
Lead extraction is indicated in infection (pocket infection, lead endocarditis and valvular endocarditis ), chronic pain, venous thrombosis and stenosis and lead malfunction (Wilkoff et al., 2009).
Different techniques and tools used for lead extraction including simple extraction tools, traction with locking sylets and snare, countertraction, counterpressure and tissue disruption using manual telescoping sheaths, powered sheaths (laser, electrosurgical and evolution sheaths).
Lead extraction requires a team approach with an experienced electrophysiologists with an adequate cardiothoracic surgery team on standby to cope with any complications in a well equibbed catheter room or operation theatre.
Lead extraction may have undesirable complication ranging from minor complication that requires no or only medical intervention to major complications which causes persistent or life threatening or results in death (Wilkoff et al., 2009).
The clinical outcomes may include Removal of all targeted leads (complete success) or retention of a small portion of the lead (clinical success) or failure.
This study aims to present and analyse the experience of Ain Shams University hospitals in the field of percutaneous lead extraction among 30 patients who were referred for percutaneous lead extraction based on the most recent guidelines in the period between April 2011 till April 2014.
All enrolled patients were subjected to full history taking, clinical examination, investigations and then the procedure of extraction which was achieved according to specific protocol involving proper environment, personnel and techniques.
The mean age of patients was 53.3±16.8 years with 18 males (60%) and 12 females (40%).
ead extraction is a specializied procedure with well defined indications, excellent results, few possible complications as described in several guidelines and scientific documents on the pathway for training and accreditation (Deharo et al., 2012).
Lead extraction is indicated in infection (pocket infection, lead endocarditis and valvular endocarditis ), chronic pain, venous thrombosis and stenosis and lead malfunction (Wilkoff et al., 2009).
Different techniques and tools used for lead extraction including simple extraction tools, traction with locking sylets and snare, countertraction, counterpressure and tissue disruption using manual telescoping sheaths, powered sheaths (laser, electrosurgical and evolution sheaths).
Lead extraction requires a team approach with an experienced electrophysiologists with an adequate cardiothoracic surgery team on standby to cope with any complications in a well equibbed catheter room or operation theatre.
Lead extraction may have undesirable complication ranging from minor complication that requires no or only medical intervention to major complications which causes persistent or life threatening or results in death (Wilkoff et al., 2009).
The clinical outcomes may include Removal of all targeted leads (complete success) or retention of a small portion of the lead (clinical success) or failure.
This study aims to present and analyse the experience of Ain Shams University hospitals in the field of percutaneous lead extraction among 30 patients who were referred for percutaneous lead extraction based on the most recent guidelines in the period between April 2011 till April 2014.
All enrolled patients were subjected to full history taking, clinical examination, investigations and then the procedure of extraction which was achieved according to specific protocol involving proper environment, personnel and techniques.
The mean age of patients was 53.3±16.8 years with 18 males (60%) and 12 females (40%).
Other data
| Title | Ain Shams University Experience in Different Methods of Percutaneous Extraction of Pacemaker and Defibrillation Leads | Other Titles | تجربة جامعة عين شمس فى الطرق المختلفة لنزع أسلاك منظمات القلب الدائمة عن طريق الجلد | Authors | Hassan Shehata Hassan El dawy | Issue Date | 2014 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.