To abandon or not to abandon: Late consequences of pacing and ICD lead abandonment

Introduction The increasing number of cardiac implantable electronic device complications represents a current problem. Abandoned leads are difficult to manage, even because indications to transvenous lead extraction (TLE) cannot be generalized. The aim of the study was to assess the late consequenc...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2019-07, Vol.42 (7), p.1006-1017
Main Authors: Jacheć, Wojciech, Polewczyk, Anna, Segreti, Luca, Bongiorni, Maria Grazia, Kutarski, Andrzej
Format: Article
Language:English
Subjects:
abandoned lead
Abrasion
complications rate
functional lead
long‐term survival
Occlusion
Regurgitation
transvenous lead extraction
Tricuspid valve
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Summary:Introduction The increasing number of cardiac implantable electronic device complications represents a current problem. Abandoned leads are difficult to manage, even because indications to transvenous lead extraction (TLE) cannot be generalized. The aim of the study was to assess the late consequences of previous abandoned leads. Methods We did a retrospective analysis of clinical data from 3,810 patients undergoing TLE in two high‐volume centers (Poland and Italy) in the years 2006–2017. In order to evaluate the effects of lead abandonment, the patients were divided into a group of 582 (15.3%) subjects with abandoned leads (AL) and a group of 3,228 (84.7%) subjects with functional leads (FL). Results Infective indications to TLE were predominant in the AL group (61.34% vs 43.4%; P 
ISSN:0147-8389
1540-8159
DOI:10.1111/pace.13715