Evidence map›Paper›PMID 34385818›Full record

ArticleVascular health and risk management2021

Transvenous Lead Extraction without Procedure-Related Deaths in 1000 Consecutive Patients: A Single-Center Experience.

Paweł Stefańczyk, Dorota Nowosielecka, Łukasz Tułecki, Konrad Tomków, Anna Polewczyk, Wojciech Jacheć, Andrzej Kleinrok, Wojciech Borzęcki, Andrzej Kutarski

Open access · goldAbstract read
In one paragraph

Article in Vascular health and risk management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. A head-to-head comparison of laser vs. powered mechanical sheaths as first choice and second line extraction tools.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  3. Practical Approaches to Transvenous Lead Extraction Procedures-Clinical Case Series.International journal of environmental research and public health · 2022
    Article
  4. Article
  5. Article
  6. Review
  7. Outcomes of Transvenous Extraction of Leads Older Than 20 and 30 Years-A Large Cohort Study.International journal of environmental research and public health · 2022
    Article
  8. Tricuspid Valve Damage Related to Transvenous Lead Extraction.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Paweł StefańczykDepartment of Cardiology, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland.
Dorota NowosieleckaDepartment of Cardiology, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland.
Łukasz TułeckiDepartment of Cardiac Surgery, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland.
Konrad TomkówDepartment of Cardiac Surgery, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland.
Anna PolewczykDepartment of Physiology, Pathophysiology, and Clinical Immunology, Collegium Medicum of Jan Kochanowski University, Kielce, Poland.
Wojciech JachećSilesian Medical University, 2nd Department of Cardiology, Zabrze, Poland.ORCID 0000-0002-1091-9788
Andrzej KleinrokDepartment of Cardiology, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland.
Wojciech BorzęckiDepartment of Cardiology, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland.
Andrzej KutarskiDepartment of Cardiology, Medical University, Lublin, Poland.
John Paul II Hospital · PLJan Kochanowski University · PLMedical University of Lublin · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransvenous lead extraction (TLE) is now a first-line technique for the treatment of complications related to cardiac implantable electronic devices. The aim of the study was to demonstrate that it is possible to safely perform difficult TLE procedures with a maximum reduction of peri-procedural major complications.

methodsA total of 1000 consecutive patients undergoing TLE in a single high-volume center from 2016 to 2019 were studied. All procedures were performed in a hybrid room or operating room by a specialized TLE team. TLE was performed under general anesthesia and monitored by transesophageal echocardiography, and the operating room was suitably equipped for immediate surgical intervention. The effectiveness and safety of the procedures were assessed, with particular emphasis on major complications.

resultsIn all, 1952 leads with the mean implant duration of 111.7 ± 77.6 months had been extracted. Complete procedural success of patients was achieved in 95.9% and clinical success in 99.1%. Major complications, predominantly cardiac tamponade (63.3%), occurred in 22 patients (2.2%). Rapid diagnosis and immediate intervention were the key to a 100% survival in patients with this complication.

conclusionPerforming procedures in a hybrid operating room under general anesthesia in the presence of a cardiac surgeon and with the use of transesophageal echocardiography significantly improves the safety of transvenous lead extraction.

Indexed as

AdolescentAdultAgedAged, 80 and overDefibrillators, ImplantableDevice RemovalEchocardiographyFemaleHumansMaleMiddle AgedPacemaker, ArtificialPregnancyRetrospective StudiesTreatment OutcomeTricuspid Valvecomplications of lead extractionlead extractionmechanical dilatationsafety precautionsvenue of TLE

Identifiers

PMID34385818
PMCPMC8352641
OpenAlexW3189531594

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.