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10.1155/2014/949785

http://scihub22266oqcxt.onion/10.1155/2014/949785
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C4058177!4058177!24971363
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suck abstract from ncbi


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pmid24971363      Biomed+Res+Int 2014 ; 2014 (ä): ä
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  • Percutaneous Extraction of Transvenous Permanent Pacemaker/Defibrillator Leads #MMPMID24971363
  • Paraskevaidis S; Konstantinou D; Vassilikos V; Theofilogiannakos E; Mantziari L; Megarisiotou A; Galitsianos I; Karvounis C
  • Biomed Res Int 2014[]; 2014 (ä): ä PMID24971363show ga
  • Background. Widespread use of cardiovascular implantable electronic devices has inevitably increased the need for lead revision/replacement. We report our experience in percutaneous extraction of transvenous permanent pacemaker/defibrillator leads. Methods. Thirty-six patients admitted to our centre from September 2005 through October 2012 for percutaneous lead extraction were included. Lead removal was attempted using Spectranetics traction-type system (Spectranetics Corp., Colorado, CO, USA) and VascoExtor countertraction-type system (Vascomed GmbH, Weil am Rhein, Germany). Results. Lead extraction was attempted in 59 leads from 36 patients (27 men), mean ± SD age 61 ± 5 years, with permanent pacemaker (n = 25), defibrillator (n = 8), or cardiac resynchronisation therapy (n = 3) with a mean ± SD implant duration of 50 ± 23 months. The indications for lead removal included pocket infection (n = 23), endocarditis (n = 2), and ventricular (n = 10) and atrial lead dysfunction (n = 1). Traction device was used for 33 leads and countertraction device for 26 leads. Mean ± SD fluoroscopy time was 4 ± 2 minutes/lead for leads implanted <48 months (n = 38) and 7 ± 3 minutes/lead for leads implanted >48 months (n = 21), P = 0.03. Complete procedural success rate was 91.7% and clinical procedural success rate was 100%, while lead procedural success rate was 95%. Conclusions. In conclusion, percutaneous extraction of transvenous permanent pacemaker/defibrillator leads using dedicated removal tools is both feasible and safe.
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