From lead management to implanted patient management: systematic review and meta-analysis of the last 15 years of experience in lead extraction

被引：76

作者：

Diemberger, Igor ^{[1
]}

Mazzotti, Andrea ^{[1
]}

Biffi, Mauro ^{[1
]}

Massaro, Giulia ^{[1
]}

Martignani, Cristian ^{[1
]}

Ziacchi, Matteo ^{[1
]}

Reggiani, Maria Letizia Bacchi ^{[1
]}

Battistini, Paola ^{[1
]}

Boriani, Giuseppe ^{[1
]}

机构：

[1] Univ Bologna, Inst Cardiol, Dept Expt Diagnost & Specialty Med, Bologna, Italy

来源：

EXPERT REVIEW OF MEDICAL DEVICES | 2013年 / 10卷 / 04期

关键词：

cardioverter-defibrillator; cost; cost-effectiveness; healthcare system; infection; lead extraction; pacemaker; CARDIOVERTER-DEFIBRILLATOR LEADS; MECHANICAL DILATOR SHEATH; SINGLE-CENTER EXPERIENCE; PACEMAKER LEAD; EXCIMER-LASER; PERCUTANEOUS EXTRACTION; TRANSVENOUS EXTRACTION; PERMANENT PACEMAKER; INITIAL-EXPERIENCE; ENDOCARDIAL LEADS;

D O I：

10.1586/17434440.2013.811837

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Percutaneous lead extraction is considered a safe and effective procedure, although published results derive primarily from cohort studies. The authors performed a systematic review and meta-analysis of the last 15 years' experience in this field, to give an objective evaluation of the efficacy and safety of this procedure. Moreover, the subsequent metaregression analysis enabled the identification of the main factors influencing these results: patient age, presence of leads in situ for more than 1 year, presence of device infection and use of laser sheath. These findings are significant in order to improve our extraction approach, data reporting and future research.

引用

页码：551 / 573

页数：23

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