Trends in Use and Adverse Outcomes Associated with Transvenous Lead Removal in the United States

被引:80
作者
Deshmukh, Abhishek [1 ]
Patel, Nileshkumar [2 ]
Noseworthy, Peter A. [1 ]
Patel, Achint A. [3 ]
Patel, Nilay [6 ]
Arora, Shilpkumar [3 ]
Kapa, Suraj [1 ]
Noheria, Amit [1 ]
Mulpuru, Siva [1 ]
Badheka, Apurva [4 ]
Fischer, Avi [5 ]
Coffey, James O. [2 ]
Cha, Yong Mei [1 ]
Friedman, Paul [1 ]
Asirvatham, Samuel [1 ]
Viles-Gonzalez, Juan F. [2 ]
机构
[1] Mayo Clin, Rochester, MN 55905 USA
[2] Univ Miami, Miller Sch Med, Miami, FL 33136 USA
[3] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
[4] Yale New Haven Med Ctr, New Haven, CT 06504 USA
[5] St Jude Med, Sylmar, CA USA
[6] Rutgers State Univ, St Peters Univ Hosp, New Brunswick, NJ 08903 USA
关键词
complications; device infection; lead removal; SINGLE-CENTER; CARDIOVERTER-DEFIBRILLATORS; CENTER EXPERIENCE; WORLD SURVEY; EXTRACTION; PACEMAKER; SAFETY; COMPLICATIONS; INTERVENTION; MORTALITY;
D O I
10.1161/CIRCULATIONAHA.114.013801
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background-Transvenous lead removal (TLR) has made significant progress with respect to innovation, efficacy, and safety. However, limited data exist regarding trends in use and adverse outcomes outside the centers of considerable experience for TLR. The aim of our study was to examine use patterns, frequency of adverse events, and influence of hospital volume on complications. Methods and Results-Using the Nationwide Inpatient Sample, we identified 91 890 TLR procedures. We investigated common complications including pericardial complications (hemopericardium, cardiac tamponade, or pericardiocentesis), pneumothorax, stroke, vascular complications (consisting of hemorrhage/hematoma, incidents requiring surgical repair, and accidental arterial puncture), and in-hospital deaths described with TLR, defining them by the validated International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code. We specifically assessed in-hospital death (2.2%), hemorrhage requiring transfusion (2.6%), vascular complications (2.0%), pericardial complications (1.4%), open heart surgery (0.2%), and postoperative respiratory failure (2.4%). Independent predictors of complications were female sex and device infections. Hospital volume was not independently associated with higher complications. There was a significant rise in overall complication rates over the study period. Conclusions-The overall complication rate in patients undergoing TLR was higher than previously reported. Female sex and device infections are associated with higher complications. Hospital volume was not associated with higher complication rates. The number of adverse events in the literature likely underestimates the actual number of complications associated with TLR.
引用
收藏
页码:2363 / 2371
页数:9
相关论文
共 33 条
[1]   Trends, indications and outcomes of cardiac implantable device system extraction: a single UK centre experience over the last decade [J].
Arujuna, A. ;
Williams, S. ;
Whittaker, J. ;
Shetty, A. ;
Roy, D. ;
Bostock, J. ;
Kirubakaran, S. ;
O'Neill, M. ;
Gill, J. ;
Cooklin, M. ;
Patel, N. ;
Blauth, C. ;
Bucknall, C. ;
Hamid, S. ;
Rinaldi, C. A. .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2012, 66 (02) :218-225
[2]   Balloon Mitral Valvuloplasty in the United States: A 13-Year Perspective [J].
Badheka, Apurva O. ;
Shah, Neeraj ;
Ghatak, Abhijit ;
Patel, Nileshkumar J. ;
Chothani, Ankit ;
Mehta, Kathan ;
Singh, Vikas ;
Patel, Nilay ;
Grover, Peeyush ;
Deshmukh, Abhishek ;
Panaich, Sidakpal S. ;
Savani, Ghanshyambhai T. ;
Bhalara, Vipulkumar ;
Arora, Shilpkumar ;
Rathod, Ankit ;
Desai, Harit ;
Kar, Saibal ;
Alfonso, Carlos ;
Palacios, Igor F. ;
Grines, Cindy ;
Schreiber, Theodore ;
Rihal, Charanjit S. ;
Makkar, Raj ;
Cohen, Mauricio G. ;
O'Neill, William ;
de Marchena, Eduardo .
AMERICAN JOURNAL OF MEDICINE, 2014, 127 (11) :1126.e1-1126.e12
[3]   Transvenous removal of pacing and implantable cardiac defibrillating leads using single sheath mechanical dilatation and multiple venous approaches: high success rate and safety in more than 2000 leads [J].
Bongiorni, Maria Grazia ;
Soldati, Ezio ;
Zucchelli, Giulio ;
Di Cori, Andrea ;
Segreti, Luca ;
De Lucia, Raffaele ;
Solarino, Gianluca ;
Balbarini, Alberto ;
Marzilli, Mario ;
Mariani, Mario .
EUROPEAN HEART JOURNAL, 2008, 29 (23) :2886-2893
[4]   Outcomes of patients requiring emergent surgical or endovascular intervention for catastrophic complications during transvenous Lead extraction [J].
Brunner, Michael P. ;
Cronin, Edmond M. ;
Wazni, Oussama ;
Baranowski, Bryan ;
Saliba, Walid I. ;
Sabik, Joseph F. ;
Lindsay, Bruce D. ;
Wilkoff, Bruce L. ;
Tarakji, Khaldoun G. .
HEART RHYTHM, 2014, 11 (03) :419-425
[5]   Transvenous extraction of implantable cardioverter-defibrillator leads under advisory-A comparison of Riata, Sprint Fidelis, and non-recalled implantable cardioverter-defibrillator leads [J].
Brunner, Michael P. ;
Cronin, Edmond M. ;
Jacob, Jessen ;
Duarte, Valeria E. ;
Tarakji, Khaldoun G. ;
Martin, David O. ;
Callahan, Thomas ;
Borek, P. Peter ;
Cantillon, Daniel J. ;
Niebauer, Mark J. ;
Saliba, Walid I. ;
Kanj, Mohamed ;
Wazni, Oussama ;
Baranowski, Bryan ;
Wilkoff, Bruce L. .
HEART RHYTHM, 2013, 10 (10) :1444-1450
[6]   Clinical characteristics and thrombolysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome [J].
Bybee, KA ;
Prasad, A ;
Barsness, GW ;
Lerman, A ;
Jaffe, AS ;
Murphy, JG ;
Wright, RS ;
Rihal, CS .
AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (03) :343-346
[7]   Intravascular extraction of problematic or infected permanent pacemaker leads: 1994-1996 [J].
Byrd, CL ;
Wilkoff, BL ;
Love, CJ ;
Sellers, TD ;
Turk, KT ;
Reeves, R ;
Young, R ;
Crevey, B ;
Kutalek, SP ;
Freedman, R ;
Friedman, R ;
Trantham, J ;
Watts, M ;
Schutzman, J ;
Oren, J ;
Wilson, J ;
Gold, F ;
Fearnot, NE ;
Van Zandt, HJ .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1999, 22 (09) :1348-1357
[8]   In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010 Analysis of 93 801 Procedures [J].
Deshmukh, Abhishek ;
Patel, Nileshkumar J. ;
Pant, Sadip ;
Shah, Neeraj ;
Chothani, Ankit ;
Mehta, Kathan ;
Grover, Peeyush ;
Singh, Vikas ;
Vallurupalli, Srikanth ;
Savani, Ghanshyambhai T. ;
Badheka, Apurva ;
Tuliani, Tushar ;
Dabhadkar, Kaustubh ;
Dibu, George ;
Reddy, Y. Madhu ;
Sewani, Asif ;
Kowalski, Marcin ;
Mitrani, Raul ;
Paydak, Hakan ;
Viles-Gonzalez, Juan F. .
CIRCULATION, 2013, 128 (19) :2104-2112
[9]   Safety of transvenous lead extraction according to centre volume: a systematic review andmeta-analysis [J].
Di Monaco, Antonio ;
Pelargonio, Gemma ;
Narducci, Maria Lucia ;
Manzoli, Lamberto ;
Boccia, Stefania ;
Flacco, Maria Elena ;
Capasso, Lorenzo ;
Barone, Lucy ;
Perna, Francesco ;
Bencardino, Gianluigi ;
Rio, Teresa ;
Leo, Milena ;
Di Biase, Luigi ;
Santangeli, Pasquale ;
Natale, Andrea ;
Rebuzzi, Antonio Giuseppe ;
Crea, Filippo .
EUROPACE, 2014, 16 (10) :1496-1507
[10]   From lead management to implanted patient management: systematic review and meta-analysis of the last 15 years of experience in lead extraction [J].
Diemberger, Igor ;
Mazzotti, Andrea ;
Biffi, Mauro ;
Massaro, Giulia ;
Martignani, Cristian ;
Ziacchi, Matteo ;
Reggiani, Maria Letizia Bacchi ;
Battistini, Paola ;
Boriani, Giuseppe .
EXPERT REVIEW OF MEDICAL DEVICES, 2013, 10 (04) :551-573