Lead removal without extraction tools: a single-center experience
Rev. bras. cir. cardiovasc
;
34(4): 458-463, July-Aug. 2019. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1020506
ABSTRACT
Abstract Introduction:
Indications for cardiac devices have been increasing as well as the need for lead extractions as a result of infections, failed leads and device recalls. Powered laser sheaths, with a global trend towards the in-creasingly technological tools, meant to improve the procedure's outcome but have economic implications.Objective:
The aim of this study is to demonstrate the experience of a Bra-zilian center that uses simple manual traction in most lead removals per-formed annually, questioning the real need for expensive and technically challenging new devices.Methods:
This retrospective observational study included 35 patients who had a transvenous lead extraction in the period of a year between January 1998 and October 2014 at Hospital de Messejana Dr. Carlos Alberto Studart Gomes, in Fortaleza, CE, Brazil. Data were collected through a records review. They were evaluated based on age, type of device, dwelling time, indication for removal, technique used and immediate outcomes.Results:
The median dwelling time of the devices was 46.22 months. Infec-tion, lead fracture and device malfunction were the most common indica-tions. Simple traction was the method of choice, used in 88.9% of the pro-cedures. Manual traction presented high success rates, resulting in com-plete removal without complications in 90% of the cases.Conclusion:
This article suggests that lead extraction by simple manual traction can still be performed effectively in countries with economic diffi-culties as a first attempt, leaving auxiliary tools for a second attempt in case of failure or contraindications to the simple manual traction technique.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Marca-Passo Artificial
/
Remoção de Dispositivo
/
Infecções Relacionadas a Cateter
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Assunto da revista:
Cardiologia
/
Cirurgia Geral
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Estados Unidos
Instituição/País de afiliação:
Clínica Radiológica Mario de Assis/BR
/
Hospital de Messejana Dr. Carlos Alberto Studart Gomes/BR
/
Universidade Federal do Ceará/BR
/
Western Michigan University/US
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