What Important Information Does Transesophageal Echocardiography Provide When Performed before Transvenous Lead Extraction?

被引:0
|
作者
Nowosielecka, Dorota [1 ,2 ]
Jachec, Wojciech [3 ]
Dzida, Malgorzata Stefanczyk [2 ]
Polewczyk, Anna [4 ,5 ]
Moscicka, Dominika [6 ]
Nowosielecka, Agnieszka [7 ]
Kutarski, Andrzej [8 ]
机构
[1] Pope John Paul II Prov Hosp, Dept Cardiac Surg, PL-22400 Zamosc, Poland
[2] Pope John Paul II Prov Hosp, Dept Cardiol, PL-22400 Zamosc, Poland
[3] Med Univ Silesia, Fac Med Sci Zabrze, Dept Cardiol 2, PL-41800 Zabrze, Poland
[4] Jan Kochanowski Univ, Coll Med, Dept Physiol Pathopysiol & Clin Immunol, PL-25369 Kielce, Poland
[5] Swietokrzyskie Cardiol Ctr, Dept Cardiac Surg, PL-25736 Kielce, Poland
[6] Florida State Univ, Tallahassee Mem HealthCare, Internal Med Residency Program, 1300 Miccosukee Rd, Tallahassee, FL 32308 USA
[7] A Falkiewicz Specialist Hosp, Dept Internal Med & Geriatr, PL-52114 Wroclaw, Poland
[8] Med Univ, Dept Cardiol, PL-20059 Lublin, Poland
关键词
transesophageal echocardiography; transvenous lead extraction; scar tissue; vegetation; perforation; lead loop; major complications; mortality; EXPERT CONSENSUS STATEMENT; INTRACARDIAC ECHOCARDIOGRAPHY; TRICUSPID REGURGITATION; 1-YEAR MORTALITY; DEVICE INFECTION; CLINICAL UTILITY; PACEMAKER; PREDICTORS; OUTCOMES; ASSOCIATION;
D O I
10.3390/jcm13175278
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Transesophageal echocardiography (TEE) is mandatory before transvenous lead extraction (TLE), but its usefulness remains underestimated. This study aims to describe the broad range of TEE findings in TLE candidates, as well as their influence on procedure complexity, major complications (MCs) and long-term survival. Methods: Preoperative TEE was performed in 1191 patients undergoing TLE. Results: Lead thickening (OR = 1.536; p = 0.007), lead adhesion to heart structures (OR = 2.531; p < 0.001) and abnormally long lead loops (OR = 1.632; p = 0.006) increased the complexity of TLE. Vegetation-like masses on the lead (OR = 4.080; p = 0.44), lead thickening (OR = 2.389; p = 0.049) and lead adhesion to heart structures (OR = 6.341; p < 0.001) increased the rate of MCs. The presence of vegetations (HR = 7.254; p < 0.001) was the strongest predictor of death during a 1-year follow-up period. Conclusions: TEE before TLE provides a lot of important information for the operator. Apart from the visualization of possible vegetations, it can also detect various forms of lead-related scar tissue. Build-up of scar tissue and the presence of long lead loops are associated with increased complexity of the procedure and risk of MCs. Preoperative TEE performed outside the operating room may have an impact on the clinical decision-making process, such as transferring potentially more difficult patients to a more experienced center or having the procedure performed by the most experienced operator. Moreover, the presence of masses or vegetations on the leads significantly increases 1-year and all-cause mortality.
引用
收藏
页数:18
相关论文
共 7 条
  • [1] Transesophageal echocardiography for the monitoring of transvenous lead extraction
    Nowosielecka, Dorota
    Polewczyk, Anna
    Jachec, Wojciech
    Kleinrok, Andrzej
    Tulecki, Lukasz
    Kutarski, Andrzej
    KARDIOLOGIA POLSKA, 2020, 78 (12) : 1206 - 1214
  • [2] A new approach to the continuous monitoring of transvenous lead extraction using transesophageal echocardiography-Analysis of 936 procedures
    Nowosielecka, Dorota
    Polewczyk, Anna
    Jachec, Wojciech
    Tulecki, Lukasz
    Tomkow, Konrad
    Stefanczyk, Pawel
    Kleinrok, Andrzej
    Kutarski, Andrzej
    ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2020, 37 (04): : 601 - 611
  • [3] Transesophageal Echocardiography as a Monitoring Tool during Transvenous Lead Extraction-Does It Improve Procedure Effectiveness?
    Nowosielecka, Dorota
    Jachec, Wojciech
    Polewczyk, Anna
    Tulecki, Lukasz
    Tomkow, Konrad
    Stefanczyk, Pawel
    Tomaszewski, Andrzej
    Brzozowski, Wojciech
    Szczesniak-Stanczyk, Dorota
    Kleinrok, Andrzej
    Kutarski, Andrzej
    JOURNAL OF CLINICAL MEDICINE, 2020, 9 (05)
  • [4] The clinical role of transesophageal echocardiography during transvenous lead extraction
    Wang, Lu
    Hai, Ting
    Feng, Yi
    Han, QiaoYu
    Li, YaRu
    Ju, Hui
    Jiang, Yan
    Li, XueBin
    Ze, Feng
    Liu, Gang
    Jiang, LuYang
    ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2021, 38 (09): : 1552 - 1557
  • [5] Clinical utility of intraprocedural transesophageal echocardiography during transvenous lead extraction
    Endo, Yuka
    O'Mara, John E.
    Weiner, Stanislav
    Han, Jennifer
    Goldberger, Mark H.
    Gordon, Garet M.
    Nanna, Michele
    Ferrick, Kevin J.
    Gross, Jay N.
    JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2008, 21 (07) : 861 - 867
  • [6] Clinical utility of routine use of continuous transesophageal echocardiography monitoring during transvenous lead extraction procedure
    Regoli, Francois
    Caputo, Maria
    Conte, Giulio
    Faletra, Francesco F.
    Moccetti, Tiziano
    Pasotti, Elena
    Cassina, Tiziano
    Casso, Gabriele
    Schlotterbeck, Herve
    Engeler, Albin
    Auricchio, Angelo
    HEART RHYTHM, 2015, 12 (02) : 313 - 320
  • [7] The prognostic value of transesophageal echocardiography after transvenous lead extraction: landscape after battle
    Nowosielecka, Dorota
    Jachec, Wojciech
    Polewczyk, Anna
    Kleinrok, Andrzej
    Tulecki, Lukasz
    Kutarski, Andrzej
    CARDIOVASCULAR DIAGNOSIS AND THERAPY, 2021, 11 (02) : 394 - +