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- W4377015905 abstract "Transvenous pacemaker or defibrillator lead extractions are high-risk procedures with many strategies for the preferred technique. A frequently fatal complication of this procedure is vessel injury including perforation of the superior vena cava and excessive laser delivery for the lead extraction might cause a fatal injury. To elucidate the advantage of combining a laser with a rotational extraction sheath for aged lead extractions. Three hundred ninety-two consecutive percutaneous lead extraction cases were analyzed. Laser sheaths were used as the first device for percutaneous lead extractions, and after September 2019 an Evolution was used when a laser sheath was not effective in extracting the lead. We compared the laser-only era (L-era: 326 cases) to both the laser and evolution-available era (E-era: 66 cases). The age and male gender were similar between the two groups (L-era vs. E-era: 72.1 vs. 72.9:P=0.9014, 73.9% vs. 62.1%: P=0.0705). The oldest lead age of the patients in the laser-only erawas similar in the Evolution era (L-era 7.9yrs vs. E-era 10.0yrs: P=0.0859). The total procedure time was similar between the two groups (74.4min. vs. 73.1min.: P=0.8659) . Also the complete removal rate was similar between the two groups (96.4% vs. 97.2%: P=0.9301) . On the contrary, the total fluoro time and total laser pulses during the laser-only era were significantly higher than in the Evolution-available era (14.2min. vs. 8.9min; P=0.0001, 967.5 pulses vs. 688.1 pulses; P=0.0295). Major adverse events during extraction procedures occurred in 3 cases (L-era: 0.92%) and none (E-era: 0.0%), but there were no procedure-related deaths in either era. Laser extraction combined with a rotational extraction sheath for percutaneous lead extractions was thought to be a less invasive strategy." @default.
- W4377015905 created "2023-05-19" @default.
- W4377015905 creator A5013368069 @default.
- W4377015905 date "2023-05-01" @default.
- W4377015905 modified "2023-10-01" @default.
- W4377015905 title "PO-02-052 COMBINING A LASER SHEATH WITH A ROTATIONAL EXTRACTION SHEATH REDUCES THE ACTIVATION OF THE LASER FOR PERCUTANEOUS LEAD EXTRACTIONS" @default.
- W4377015905 doi "https://doi.org/10.1016/j.hrthm.2023.03.845" @default.
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