Valizadeh-Shiran Fahimeh, Hosseini Mohammadi Negin Sadat, Tavakoli Kiarash, Jalali Arash, Ahmadi Tafti Seyed Hossein, Yaminisharif Ahmad
Department of Cardiac Electrophysiology, Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2024 Jan;19(1):25-30. doi: 10.18502/jthc.v19i1.15533.
The rate of lead extraction has steadily increased alongside the extensive use of cardiovascular implantable electronic devices. Data on the complications and safety of this challenging procedure are limited. We investigated inhospital and midterm outcomes following lead extraction.
Data were retrieved from 51 patients who underwent pacemaker/defibrillator lead extraction procedures at Tehran Heart Center between 2016 and 2021. The procedural success rate, patients' demographic characteristics, and inhospital and midterm procedure-related complications were investigated.
Fifty-one patients were enrolled, including 44 men (86.3%). A total of 109 leads were extracted, with a 90.2% complete procedural success rate. In-hospital death occurred in 4 patients (7.8%): 1 patient (1.9%) died from pneumonia, 1 (1.9%) from septic shock, and 2 (3.9%) from septic shock besides heparin-induced thrombocytopenia. Adverse events in 3 patients (5.8%) were directly related to the procedure: 1 patient (1.9%) suffered lung laceration and hemorrhage, 1 (1.9%) sustained subclavian injury, and 1 (1.9%) developed tamponade. Neither reinfection nor rehospitalization was observed during follow-up.
Lead extraction can be considered a highly successful procedure with a low rate of death-related events and complications.
随着心血管植入式电子设备的广泛使用，导线拔除率稳步上升。关于这一具有挑战性手术的并发症和安全性的数据有限。我们调查了导线拔除后的住院期间及中期结果。
从2016年至2021年在德黑兰心脏中心接受起搏器/除颤器导线拔除手术的51例患者中检索数据。调查手术成功率、患者人口统计学特征以及住院期间和中期与手术相关的并发症。
共纳入51例患者，其中男性44例（86.3%）。共拔除109根导线，手术完全成功率为90.2%。4例患者（7.8%）在住院期间死亡：1例患者（1.9%）死于肺炎，1例（1.9%）死于感染性休克，2例（3.9%）死于感染性休克合并肝素诱导的血小板减少症。3例患者（5.8%）的不良事件与手术直接相关：1例患者（1.9%）发生肺撕裂伤和出血，1例（1.9%）发生锁骨下损伤，1例（1.9%）发生心包填塞。随访期间未观察到再感染或再次住院情况。
导线拔除可被认为是一种成功率高、与死亡相关的事件和并发症发生率低的手术。
