Lead extraction details
Patient | Age | Indication | System | Extracted | Tech | Anaesth | Rem | Drag | Proc | Fluoro |
---|---|---|---|---|---|---|---|---|---|---|
*Patients with venous occlusion of the ipsilateral veins. Indication: Pain, painful pacemaker; Failure, lead failure and the patient is young (≤ 60 years); Advisory, an advisory lead and the patient has requested lead extraction; ICD, patient required upgrading of pacemaker to ICD or replacement of a failed defibrillator lead. System: the system in situ requiring extraction; DDD, dual chamber; VVI and AAI, single chamber. Extracted: the number of each type of leads extracted. Tech: the system used to perform lead extraction; S, needle eye snare; B, Byrd femoral workstation. Anaesth: LA, local; GA, general anaesthetic. Rem: indicates whether any lead fragments were retained; N, none; distal, < 2 cm of distal lead was retained. Drag: how many leads were replaced by the drag through technique; */* number of leads dragged through/number requiring extraction. Proc and Fluoro: procedure and fluoroscopy time (mins) including time for new implants. | ||||||||||
1 | 50 | Failure | VVI | V | B | LA | N | 1/1 | 280 | 45.5 |
2 | 51 | Pain | DDD | Vx2,Ax1 | S | LA | N | 2/2 | 130 | 104 |
3 | 63 | Advisory | DDD | V | S | LA | N | 1/1 | 135 | 35 |
4 | 63 | Failure | DDD | A,V | S | LA | N | 2/2 | 175 | 20 |
5* | 41 | Failure | AAI | Ax1 | S | LA | N | 1/1 | 300 | 58.8 |
6 | 72 | Advisory | DDD | Vx2,Ax1 | S | LA | N | 2/2 | 110 | 58.8 |
7 | 73 | ICD | VVI | V | S | GA | N | 1/1 | 140 | 20 |
8 | 60 | Failure | DDD | A,V | S | LA | Distal | 2/2 | 150 | 34.2 |
9* | 54 | Failure | DDD | A,V | B | LA | N | 2/2 | 90 | 10 |
10 | 54 | Failure | VVI | V | S | LA | N | 1/1 | 150 | 7.6 |
11* | 67 | Failure | DDD | V | B | LA | N | 2/2 | 240 | 58.2 |
12* | 58 | ICD | DDD | V | B | GA | N | 1/1 | 60 | 12 |
13 | 52 | Failed ICD | ICD | ICD | B | LA | N | 1/1 | 100 | 28.4 |
14 | 53 | Failed ICD | ICD | ICD | B | LA | Distal | 1/1 | 120 | 75 |
Mean | 57.9 | 155.7 | 40.5 | |||||||
SD | 9.0 | 70.8 | 27.9 |