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ABSTRACT: Background
Limited data is available about the outcome of TLE in patients with vs. without high energy leads in the last decade.Methods
This is an analysis of consecutive patients undergoing TLE at a high-volume TLE centre from 2001 to 2021 using the stepwise approach. Baseline characteristics, procedural details and outcome of patients with high energy lead (ICD group) vs. without high energy lead (non-ICD group) were compared.Results
Out of 667 extractions, 991 leads were extracted in 405 procedures (60.7%) in the ICD group and 439 leads in 262 procedures (39.3%) in the non-ICD group. ICD patients were significantly younger (median 67 vs. 74 years) and were significantly less often female (18.1% vs. 27.7%, p < 0.005 for both). Advanced extraction tools were used significantly more often in the ICD group (73.2% vs. 37.5%, p < 0.001), but there were no significant differences in the successful removal (98.8% vs. 99.2%) or complications (4.7% vs. 3.1%) between the groups (p > 0.2 for both).Discussion
Using the stepwise approach, overall procedural success was high and complication rate was low in a high-volume centre. In patients with a high energy lead, the TLE procedure was more complex, but outcome was similar to comparator patients.
SUBMITTER: Zweiker D
PROVIDER: S-EPMC9410501 | biostudies-literature | 2022 Aug
REPOSITORIES: biostudies-literature
Zweiker David D El Sawaf Basma B D'Angelo Giuseppe G Radinovic Andrea A Marzi Alessandra A Limite Luca R LR Frontera Antonio A Paglino Gabriele G Spartalis Michael M Zachariah Donah D Nakajima Kenzaburo K Della Bella Paolo P Mazzone Patrizio P
Journal of clinical medicine 20220819 16
Background: Limited data is available about the outcome of TLE in patients with vs. without high energy leads in the last decade. Methods: This is an analysis of consecutive patients undergoing TLE at a high-volume TLE centre from 2001 to 2021 using the stepwise approach. Baseline characteristics, procedural details and outcome of patients with high energy lead (ICD group) vs. without high energy lead (non-ICD group) were compared. Results: Out of 667 extractions, 991 leads were extracted in 405 ...[more]