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Article

Transvenous Lead Extraction in Adult Patient with Leads Implanted in Childhood-Is That the Same Procedure as in Other Adult Patients?

by
Andrzej Kutarski
1,
Wojciech Jacheć
2,
Anna Polewczyk
3,4,
Dorota Nowosielecka
5,6,*,
Maria Miszczak-Knecht
7,
Monika Brzezinska
7 and
Katarzyna Bieganowska
7
1
Department of Cardiology, Medical University of Lublin, 20-059 Lublin, Poland
2
2nd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Silesian Medical University, 41-800 Katowice, Poland
3
Department of Physiology, Patophysiology and Clinical Immunology, Institute of Medical Sciences, Jan Kochanowski University, 25-369 Kielce, Poland
4
Department of Cardiac Surgery, Świętokrzyskie Center of Cardiology, 25-736 Kielce, Poland
5
Department of Cardiology, The Pope John Paul II Province Hospital, 22-400 Zamość, Poland
6
Department of Cardiac Surgery, The Pope John Paul II Province Hospital, 22-400 Zamość, Poland
7
Department of Cardiology, The Children’s Memorial Health Institute, 04-730 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(21), 14594; https://doi.org/10.3390/ijerph192114594
Submission received: 12 September 2022 / Revised: 3 November 2022 / Accepted: 4 November 2022 / Published: 7 November 2022
(This article belongs to the Special Issue Transvenous Lead Extraction—Hot Topics in Lead Management)
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Abstract

Background: Lead management in children and young adults is still a matter of debate. Methods: To assess the course of transvenous lead extraction (TLE) in adults with pacemakers implanted in childhood (CIP) we compared 98 CIP patients with a control group consisting of adults with pacemakers implanted in adulthood (AIP). Results: CIP patients differed from AIP patients with respect to indications for TLE and pacing history. CIP patients were four–eight times more likely to require second-line or advanced tools. Furthermore, CIP patients more often than AIP were prone to developing complications: major complications (MC) (any) 2.6 times; hemopericardium 3.2 times; severe tricuspid valve damage 4.4 times; need for rescue cardiac surgery 3.7 times. The rate of procedural success was 11% lower because of 4.8 times more common lead remnants and 3.1 times more frequent permanently disabling complications. Conclusions: Due to system-related risk factors TLE in CIP patients is more difficult and complex. TLE in CIP is associated with an increased risk of MC and incomplete lead removal. A conservative strategy of lead management, acceptable in very old patients seems to be less suitable in CIP because it creates a subpopulation of patients at high risk of major complications during TLE in the future.
Keywords: pacing in children; lead extraction in young adults; complications of pacing; lead extraction complexity pacing in children; lead extraction in young adults; complications of pacing; lead extraction complexity

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MDPI and ACS Style

Kutarski, A.; Jacheć, W.; Polewczyk, A.; Nowosielecka, D.; Miszczak-Knecht, M.; Brzezinska, M.; Bieganowska, K. Transvenous Lead Extraction in Adult Patient with Leads Implanted in Childhood-Is That the Same Procedure as in Other Adult Patients? Int. J. Environ. Res. Public Health 2022, 19, 14594. https://doi.org/10.3390/ijerph192114594

AMA Style

Kutarski A, Jacheć W, Polewczyk A, Nowosielecka D, Miszczak-Knecht M, Brzezinska M, Bieganowska K. Transvenous Lead Extraction in Adult Patient with Leads Implanted in Childhood-Is That the Same Procedure as in Other Adult Patients? International Journal of Environmental Research and Public Health. 2022; 19(21):14594. https://doi.org/10.3390/ijerph192114594

Chicago/Turabian Style

Kutarski, Andrzej, Wojciech Jacheć, Anna Polewczyk, Dorota Nowosielecka, Maria Miszczak-Knecht, Monika Brzezinska, and Katarzyna Bieganowska. 2022. "Transvenous Lead Extraction in Adult Patient with Leads Implanted in Childhood-Is That the Same Procedure as in Other Adult Patients?" International Journal of Environmental Research and Public Health 19, no. 21: 14594. https://doi.org/10.3390/ijerph192114594

APA Style

Kutarski, A., Jacheć, W., Polewczyk, A., Nowosielecka, D., Miszczak-Knecht, M., Brzezinska, M., & Bieganowska, K. (2022). Transvenous Lead Extraction in Adult Patient with Leads Implanted in Childhood-Is That the Same Procedure as in Other Adult Patients? International Journal of Environmental Research and Public Health, 19(21), 14594. https://doi.org/10.3390/ijerph192114594

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