The GermAn Laser Lead Extraction GallerY: GALLERY

被引：28

作者：

Pecha, Simon ^{[1
]}

Burger, Heiko ^{[2
]}

Chung, Da-Un ^{[3
]}

Moeller, Viviane ^{[4
,5
]}

Madej, Tomas ^{[6
]}

Maali, Alaa ^{[7
]}

Osswald, Brigitte ^{[8
]}

De Simone, Raffaele ^{[9
]}

Monsefi, Nadeja ^{[10
]}

Ziaukas, Virgilijus ^{[11
]}

Erler, Stefan ^{[12
]}

Elfarra, Hamdi ^{[13
]}

Perthel, Mathias ^{[14
]}

Wehbe, Mahmoud S. ^{[11
]}

Ghaffari, Naser ^{[15
]}

Sandhaus, Tim ^{[16
]}

Busk, Henning ^{[17
]}

Schmitto, Jan D. ^{[18
]}

Baersch, Volker ^{[19
]}

Easo, Jerry ^{[20
]}

Albert, Marc ^{[21
]}

Treede, Hendrik ^{[22
]}

Naegele, Herbert ^{[23
]}

Zenker, Dieter ^{[24
]}

Hegazy, Yasser ^{[25
]}

Ahmadi, Donja ^{[1
]}

Gessler, Nele ^{[3
]}

Ehrlich, Wolfgang ^{[2
]}

Romano, Gabriele ^{[9
]}

Knaut, Michael ^{[6
]}

Reichenspurner, Hermann ^{[1
]}

Willems, Stephan

Butter, Christian ^{[4
,5
]}

Hakmi, Samer ^{[3
]}

机构：

[1] Univ Hosp Eppendorf, Univ Heart & Vasc Ctr Hamburg, Dept Cardiovasc Surg, Martinistr 52, D-20246 Hamburg, Germany

[2] Kerckhoff Klin, Dept Cardiac Surg, Bad Nauheim, Germany

[3] Asklepios Klin St Georg, Dept Cardiol & Crit Care Med, Hamburg, Germany

[4] Heart Ctr Brandenburg, Dept Cardiol, Bernau, Germany

[5] Brandenburg Med Sch, Bernau, Germany

[6] Univ Heart Ctr Dresden, Dept Cardiac Surg, Dresden, Germany

[7] MediClin Heart Ctr, Dept Cardiovasc Surg, Coswig, Germany

[8] Johanniter Hosp Duisburg Rheinhausen, Div Electrophysiol Surg, Duisburg, Germany

[9] Heidelberg Univ Hosp, Dept Cardiac Surg, Heidelberg, Germany

[10] Univ Hosp Bonn, Dept Cardiac Surg, Bonn, Germany

[11] Schuchtermann Klin, Dept Cardiac Surg, Bad Rothenfelde, Germany

[12] Heart & Vessel Ctr Bad Bevensen, Dept Cardiothorac Surg, Bad Bevensen, Germany

[13] Hosp Philipps Univ Marburg, Dept Cardiovasc Surg, Marburg, Germany

[14] Heart Ctr Bad Segeberg, Dept Cardiac Surg, Bad Segeberg, Germany

[15] Helios Clin Heart Surg, Dept Cardiovasc Surg, Karlsruhe, Germany

[16] Univ Hosp Jena, Dept Cardiothorac Surg, Jena, Germany

[17] Univ Hosp Magdeburg, Div Cardiothorac Surg, Magdeburg, Germany

[18] Hannover Med Sch, Dept Cardiothorac Transplantat & Vasc Surg, Hannover, Germany

[19] St Marien Hosp, Dept Cardiol, Siegen, Germany

[20] Univ Hosp Essen, Dept Cardiac Surg, Essen, Germany

[21] Robert Bosch Krankenhaus, Dept Cardiac Surg, Stuttgart, Germany

[22] Univ Hosp Mainz, Dept Cardiothorac & Vasc Surg, Mainz, Germany

[23] Albertinen Hosp, Dept Cardiac Insufficiency & Device Therapy, Hamburg, Germany

[24] Georg August Univ, Med Ctr, Dept Thorac & Cardiovasc Surg, Gottingen, Germany

[25] MediClin Heart Inst, Dept Cardiac Surg, Lahr Baden, Germany

来源：

EUROPACE | 2022年 / 24卷 / 10期

关键词：

Lead extraction; Laser lead extraction; CIED infection; Lead endocarditis; Pacemaker; Implantable cardioverter-defibrillator; CARDIOVERTER-DEFIBRILLATOR LEADS; PERMANENT PACEMAKER; EXPERIENCE; SHEATH; OUTCOMES; TRENDS; SAFETY;

D O I：

10.1093/europace/euac056

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims The GermAn Laser Lead Extraction GallerY (GALLERY) is a retrospective, national multicentre registry, investigating the safety and efficacy of laser lead extraction procedures in Germany. Methods and results Twenty-four German centres that are performing laser lead extraction have participated in the registry. All patients, treated with a laser lead extraction procedure between January 2013 and March 2017, were consecutively enrolled. Safety and efficacy of laser lead extraction were investigated. A total number of 2524 consecutive patients with 6117 leads were included into the registry. About 5499 leads with a median lead dwell time of 96 (62-141) months were treated. The mean number of treated leads per patient was 2.18 +/- 1.02. The clinical procedural success rate was 97.86% and the complete lead removal was observed in 94.85%. Additional extraction tools were used in 6.65% of cases. The rate of procedural failure was 2.14% with lead age >= 10 years being its only predictor. The overall complication rate was 4.32%, including 2.06% major and 2.26% minor complications. Procedure-related mortality was 0.55%. Female sex and the presence of abandoned leads were predictors for procedure-related complications. The all-cause in-hospital mortality was 3.56% with systemic infection being the strongest predictor, followed by age >= 75 years and chronic kidney disease. Conclusion In the GALLERY, a high success- and low procedure-related complication rates have been demonstrated. In multivariate analysis, female sex and the presence of abandoned leads were predictors for procedure-related complications, while the presence of systemic infection, age >= 75 years, and chronic kidney disease were independent predictors for all-cause mortality.

引用

页码：1627 / 1635

页数：9

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