Evidence map›Paper›PMID 30281686›Full record

ArticleArquivos brasileiros de cardiologia2018

Usefulness of preoperative venography in patients with cardiac implantable electronic devices submitted to lead replacement or device upgrade procedures.

Caio Marcos de Moraes Albertini, Katia Regina da Silva, Joaquim Maurício da Motta Leal Filho, Elizabeth Sartori Crevelari, Martino Martinelli Filho, Francisco Cesar Carnevale, Roberto Costa

Abstract read
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Article in Arquivos brasileiros de cardiologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

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13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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  13. Reintervention in Artificial Cardiac Pacing Systems.Arquivos brasileiros de cardiologia · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Caio Marcos de Moraes AlbertiniInstituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.
Katia Regina da SilvaInstituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.
Joaquim Maurício da Motta Leal FilhoInstituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.
Elizabeth Sartori CrevelariInstituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.
Martino Martinelli FilhoInstituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.
Francisco Cesar CarnevaleHospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.
Roberto CostaInstituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenous obstructions are common in patients with transvenous cardiac implantable electronic devices, but they rarely cause immediate clinical problems. The main consequence of these lesions is the difficulty in obtaining venous access for additional leads implantation.

objectivesWe aimed to assess the prevalence and predictor factors of venous lesions in patients referred to lead reoperations, and to define the role of preoperative venography in the planning of these procedures.

methodsFrom April 2013 to July 2016, contrast venography was performed in 100 patients referred to device upgrade, revision and lead extraction. Venous lesions were classified as non-significant (< 50%), moderate stenosis (51-70%), severe stenosis (71-99%) or occlusion (100%). Collateral circulation was classified as absent, discrete, moderate or accentuated. The surgical strategy was defined according to the result of the preoperative venography. Univariate analysis was used to investigate predictor factors related to the occurrence of these lesions, with 5% of significance level.

resultsModerate venous stenosis was observed in 23%, severe in 13% and occlusions in 11%. There were no significant differences in relation to the device side or the venous segment. The usefulness of the preoperative venography to define the operative tactic was proven, and in 99% of the cases, the established surgical strategy could be performed according to plan.

conclusionsThe prevalence of venous obstruction is high in CIED recipients referred to reoperations. Venography is highly indicated as a preoperative examination for allowing the adequate surgical planning of procedures involving previous transvenous leads.

Indexed as

AdultAgedCardiac Resynchronization TherapyConstriction, PathologicCross-Sectional StudiesDefibrillators, ImplantableFemaleHumansMaleMiddle AgedPacemaker, ArtificialPhlebographyPostoperative ComplicationsPreoperative CarePrevalenceReoperation

Identifiers

PMID30281686
PMCPMC6248256

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.