multidisciplinary approach to transvenous lead extraction

2021-08-24T11:08:15+00:00
  • Multidisciplinary Approach to Transvenous Lead Extraction ...

    While transvenous lead extraction (TLE) is the standard approach to remove infected or malfunctioning cardiac implantable electronic device (CIED) leads, surgical approaches

  • Transvenous Lead Extraction: A Step-by-Step Approach

    IntroductionPreprocedural Set-UpProcedureConclusionReferencesThe increasing number of implanted transvenous pacemakers, implantable cardiac defibrillators (ICDs), and cardiac resynchronization therapy (CRT) over the last two decades has led to the rising need for lead extractions. Over time, these leads have to be removed due to structural defects, infections, or the need to upgrade a pre-existing system. Chronic leads may develop a dense fibrotic and sometimes calcific process within the thin-walled venous structures or the endocardial surface of the heart or tricuspid valv
  • Leading from Experience in Transvenous Lead Extraction ...

    Aug 07, 2014  Leading from Experience in Transvenous Lead Extraction As more patients require extraction of pacemaker and ICD leads, the risks from this complex procedure mount. Multidisciplinary expertise is key to avoiding infection and managing catastrophic complications.

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  • Cardiac surgeon and electrophysiologist shoulder-to ...

    Mar 15, 2019  Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

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  • Interdisciplinary stepwise approach for an effective and ...

    Aim of this study was to retrospectively analyse safety and effectiveness of a stepwise interdisciplinary approach for mechanical transvenous lead extraction. Methods: From February 2011 to December 2017, 71 patients (pts) underwent electronic leads extraction for Cardiac Implantable Electronic Devices (CIED) complications.

  • Author: Valentino Borghetti, Giovanni Carreras, Chiara Marini, Stefano Donzelli, Giancarlo D’Addario, Enrico...
  • Transvenous Extraction of Pacemaker Leads in Infective ...

    Timothy M. Maus, Jesse Shurter, Liem Nguyen, Ulrika Birgersdotter-Green and Victor Pretorius, Multidisciplinary Approach to Transvenous Lead Extraction: A Single Center’s Experience, Journal of Cardiothoracic and Vascular Anesthesia, 29, 2, (265), (2015).

  • Cited by: 26
  • Developing a Lead Extraction Program for Patients with ...

    May 20, 2021  Indications and recommendations for lead extraction have been established. 1,2 Pediatric and adult congenital heart disease (CHD) centers may have lower case volumes than adult lead extraction centers. However, CHD adds anatomic complexity in a younger population of smaller patient size, where limited transvenous access, prior operations, and ...

  • Cardiac surgeon and electrophysiologist shoulder-to ...

    Mar 15, 2019  Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

  • STANDARDS FOR LEAD EXTRACTION A consensus document

    BACKGROUND TO LEAD EXTRACTION The majority of lead extraction procedures in the Western world are performed transvenously by cardiologists and/or cardiac surgeons. The European task force1 has attempted to calculate the total transvenous extraction need based on 1.5 times the reported prevalence of infection in

  • Transvenous Extraction of Pacemaker Leads in Infective ...

    Timothy M. Maus, Jesse Shurter, Liem Nguyen, Ulrika Birgersdotter-Green and Victor Pretorius, Multidisciplinary Approach to Transvenous Lead Extraction: A Single Center’s Experience, Journal of Cardiothoracic and Vascular Anesthesia, 29, 2, (265), (2015).

  • Intravascular extraction of chronically implanted ...

    Intravascular extraction of chronically implanted permanent transvenous pacing leads 3 The need for lead extraction is often associated with the following clinical situations: • Mandatory conditions: pacemaker hardware-related septicaemia and/or endocarditis, migration of severed transvenous leads causing cardiac, especially ventricular ...

  • Efficient approach to superior vena cava baffle stenosis ...

    Its ability to fully alleviate baffle stenosis even when full lead extraction is not feasible or is associated with significant procedural risk, further demonstrates its expanded role in this patient population. A multidisciplinary approach and great diligence must be employed to avoid potential complications.

  • Safety and efficacy of cardiovascular implantable ...

    Aug 04, 2020  Transvenous lead extraction of cardiovascular implantable electronic device (CIED) has been proven safe in the general patient population with the advances in extraction techniques. Octogenarians present a unique challenge given their comorbidities and the perceived increase in morbidity and mortality.

  • Device-Related Endocarditis and Infected Leads Extraction ...

    Aug 17, 2012  Buongiorni et al, in a retrospective analysis of 1330 leads extraction, concluded that transvenous lead extraction is an effective and safe procedure. They showed how the use of the jugular approach, in the presence of free-floating or difficult exposed leads, increases both safety and success rate ( Buongiorni et al. 2005 ).

  • Management of cardiac implantable electronic device ...

    Oct 23, 2020  Complete lead extraction required a combined transvenous and surgical approach. Contralateral reimplantation failed due to occlusion of the right brachiocephalic vein. Therefore, a subcutaneous ICD was implanted. This case highlights the importance of an interdisciplinary approach to the treatment of cardiac implantable electronic device infection.

  • Minimally Invasive Techniques to Avoid Sternotomy in ...

    Value of a joint cardiac surgery-cardiac electrophysiology approach to lead extraction. J Card Surg. 2015;30(11):874–876. Maus TM, Shurter J, Nguyen L, Birgersdotter-Green U, Pretorius V. Multidisciplinary approach to transvenous lead extraction: a single center’s experience. J Cardiothorac Vasc Anesth. 2015;29(2):265–270.

  • A Case of Arterial and Venous Tear during Single Lead ...

    Apr 18, 2016  Our case demonstrated that when performing a transvenous lead extraction of an active fixation CS lead, a degloving injury can cause arterial rupture and venous rupture. A multidisciplinary team-based approach can ensure patient safety when faced with complications such as a coronary sinus and arterial rupture.

  • Cardiac implantable electronic device lead removal - UpToDate

    Jan 26, 2012  Deharo JC, Bongiorni MG, Rozkovec A, et al. Pathways for training and accreditation for transvenous lead extraction: a European Heart Rhythm Association position paper. Europace 2012; 14:124. Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a single center's experience.

  • Key Lessons from the ELECTRa Registry in the Modern Era of ...

    Thus, the demand for transvenous lead extraction (TLE) has also substantially increased. To identify the indication to TLE by various operators and centres, techniques used to perform TLE, and the safety and efficacy of the current clinical practice of TLE, a large prospective registry has been started in Europe – the European Lead Extraction ...

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  • Intravascular extraction of chronically implanted ...

    Intravascular extraction of chronically implanted permanent transvenous pacing leads 3 The need for lead extraction is often associated with the following clinical situations: • Mandatory conditions: pacemaker hardware-related septicaemia and/or endocarditis, migration of severed transvenous leads causing cardiac, especially ventricular ...

  • Pacemaker lead extraction with the laser sheath: results ...

    Multidisciplinary Approach to Transvenous Lead Extraction: A Single Center’s Experience Journal of Cardiothoracic and Vascular Anesthesia , 29 (2) : 265 How adequate are the current methods of lead extraction?

  • A Case of Arterial and Venous Tear during Single Lead ...

    Apr 18, 2016  Our case demonstrated that when performing a transvenous lead extraction of an active fixation CS lead, a degloving injury can cause arterial rupture and venous rupture. A multidisciplinary team-based approach can ensure patient safety when faced with complications such as

  • Case Report A Case of Arterial and Venous Tear during ...

    using a multidisciplinary approach suggests that there is a ... Our case demonstrated that when performing a transvenous lead extraction of an active xation CS lead, a degloving injury can cause arterial rupture and venous rupture. A multidisciplinary team-based approach can ensure patient

  • UpToDate

    Deharo JC, Bongiorni MG, Rozkovec A, et al. Pathways for training and accreditation for transvenous lead extraction: a European Heart Rhythm Association position paper. Europace 2012; 14:124. Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a single center's experience.

  • Analysis of a 10-year period of lead removal in a referral ...

    May 28, 2020  Overall, multiple single-centre studies and expert guidelines reported that a multidisciplinary approach to lead extraction involving electrophysiologists and cardiac surgeons ensured both safe and successful procedures [1, 2, 12, 13]. Complete hardware removal is recommended, especially in the case of patients with CIED infections.

  • Cardiac surgeon and electrophysiologist shoulder-to ...

    Abstract. Background: Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

  • Key Lessons from the ELECTRa Registry in the Modern Era of ...

    Thus, the demand for transvenous lead extraction (TLE) has also substantially increased. To identify the indication to TLE by various operators and centres, techniques used to perform TLE, and the safety and efficacy of the current clinical practice of TLE, a large prospective registry has been started in Europe – the European Lead Extraction ...

  • Management of cardiac implantable electronic device ...

    Oct 23, 2020  Complete lead extraction required a combined transvenous and surgical approach. Contralateral reimplantation failed due to occlusion of the right brachiocephalic vein. Therefore, a subcutaneous ICD was implanted. This case highlights the importance of an interdisciplinary approach to the treatment of cardiac implantable electronic device infection.

  • Management of Cardiac Electronic Device Infections ...

    Kennergren C, Bucknall CA, Butter C, et al. Laser-assisted lead extraction: the European experience. Europace 2007;9(8): 651–6. Crossref PubMed; Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a single center’s experience. J Cardiothorac Vasc Anesth 2015;29(2):265–70. Crossref PubMed

  • Endocarditis and Cardiac Device Infections IntechOpen

    Jul 27, 2021  Previously carrying a transvenous transitory pacemaker. ... Lead vegetation: 2 weeks post-extraction (total 4w except S Aureus) ... that must receive a multidisciplinary approach by a team made up of specialists in infectious diseases and microbiology, interventional cardiologists, ...

  • Value of a Joint Cardiac Surgery-Cardiac Electrophysiology ...

    Article. Value of a Joint Cardiac Surgery-Cardiac Electrophysiology Approach to Lead Extraction. October 2015; Journal of Cardiac Surgery 30(11)

  • Ulrika Birgersdotter-Green Profiles RNS

    May 21, 2018  Multidisciplinary approach to transvenous lead extraction: a single center's experience. J Cardiothorac Vasc Anesth. 2015 Apr; 29(2):265-70. Maus TM, Shurter J, Nguyen L, Birgersdotter-Green U, Pretorius V. PMID: 25649700.

  • Dr. Ulrika Birgersdotter-Green, MD Encinitas, CA ...

    Multidisciplinary approach to transvenous lead extraction: a single center's experience. Timothy M. Maus, Jesse Shurter, Liem Nguyen, Ulrika Birgersdotter-Green, Victor Pretorius Right ventricular ...

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