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Pecha, Simon; Burger, Heiko; Chung, Da Un; Möller, Viviane; Madej, Tomas; Maali, Alaa; Osswald, Brigitte; De Simone, Raffaele; Monsefi, Nadeja; Ziaukas, Virgilijus; Erler, Stefan; Elfarra, Hamdi; Perthel, Mathias; Wehbe, Mahmoud S; Ghaffari, Naser; Sandhaus, Tim; Busk, Henning; Schmitto, Jan D; Bärsch, Volker; Easo, Jerry; Albert, Marc; Treede, Hendrik; Nägele, Herbert; Zenker, Dieter; [...]

The GermAn Laser Lead Extraction RegistrY: GALLERY

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  • Medientyp: E-Artikel
  • Titel: The GermAn Laser Lead Extraction RegistrY: GALLERY
  • Beteiligte: Pecha, Simon; Burger, Heiko; Chung, Da Un; Möller, Viviane; Madej, Tomas; Maali, Alaa; Osswald, Brigitte; De Simone, Raffaele; Monsefi, Nadeja; Ziaukas, Virgilijus; Erler, Stefan; Elfarra, Hamdi; Perthel, Mathias; Wehbe, Mahmoud S; Ghaffari, Naser; Sandhaus, Tim; Busk, Henning; Schmitto, Jan D; Bärsch, Volker; Easo, Jerry; Albert, Marc; Treede, Hendrik; Nägele, Herbert; Zenker, Dieter; [...]
  • Erschienen: Oxford University Press (OUP), 2022
  • Erschienen in: EP Europace
  • Sprache: Englisch
  • DOI: 10.1093/europace/euac056
  • ISSN: 1099-5129; 1532-2092
  • Schlagwörter: Physiology (medical) ; Cardiology and Cardiovascular Medicine
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Aims</jats:title> <jats:p>The GermAn Laser Lead Extraction RegistrY: GALLERY is a retrospective, national multicentre registry, investigating the safety and efficacy of laser lead extraction procedures in Germany.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods and results</jats:title> <jats:p>Twenty-four German centres that are performing laser lead extraction have participated in the registry. All patients, treated with a laser lead extraction procedure between January 2013 and March 2017, were consecutively enrolled. Safety and efficacy of laser lead extraction were investigated. A total number of 2524 consecutive patients with 6117 leads were included into the registry. 5499 leads with a median lead dwell time of 96 (62–141) months were treated. The mean number of treated leads per patient was 2.18 ± 1.02. The clinical procedural success rate was 97.86% and the complete lead removal was observed in 94.85%. Additional extraction tools were used in 6.65% of cases. The rate of procedural failure was 2.14% with lead age  ≥10 years being its only predictor. The overall complication rate was 4.32%, including 2.06% major and 2.26% minor complications. Procedure-related mortality was 0.55%. Female sex and the presence of abandoned leads were predictors for procedure-related complications. The all-cause in-hospital mortality was 3.56% with systemic infection being the strongest predictor, followed by age ≥75 years and chronic kidney disease.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>In the GALLERY, a high success- and low procedure-related complication rates have been demonstrated. In multivariate analysis, female sex and the presence of abandoned leads were predictors for procedure-related complications, while the presence of systemic infection, age ≥75 years, and chronic kidney disease were independent predictors for all-cause mortality.</jats:p> </jats:sec>
  • Zugangsstatus: Freier Zugang