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Predictors of mortality and outcomes in transvenous lead extraction for systemic and local infection cohorts.
Gould, Justin; Klis, Magdalena; Porter, Bradley; Sidhu, Baldeep S; Sieniewicz, Benjamin J; Williams, Steven E; Teall, Thomas; Webb, Jessica; Shetty, Anoop; Gill, Jaswinder; Rinaldi, Christopher A.
Afiliação
  • Gould J; Department of Cardiology, Lower Ground Floor, South Wing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Klis M; School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
  • Porter B; Department of Cardiology, Lower Ground Floor, South Wing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Sidhu BS; Department of Cardiology, Lower Ground Floor, South Wing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Sieniewicz BJ; School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
  • Williams SE; Department of Cardiology, Lower Ground Floor, South Wing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Teall T; School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
  • Webb J; Department of Cardiology, Lower Ground Floor, South Wing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Shetty A; School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
  • Gill J; Department of Cardiology, Lower Ground Floor, South Wing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Rinaldi CA; School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Pacing Clin Electrophysiol ; 42(1): 73-84, 2019 01.
Article em En | MEDLINE | ID: mdl-30411817
BACKGROUND: Transvenous lead extraction (TLE) may be necessary due to infective and noninfective indications. We aim to identify predictors of 30-day mortality and risk factors between infective versus noninfective groups and systemic versus local infection subgroups. METHODS: A total of 925 TLEs between October 2000 and December 2016 were prospectively collected and dichotomized (infective group n = 505 vs noninfective group n = 420 and systemic infection n = 164 vs local infection n = 341). RESULTS: All-cause major complication including deaths was significantly higher (5.1%, n = 26 vs 1.2%, n = 5, P = 0.001) as well as 30-day mortality (4.0%, n = 20 vs 0.2%, n = 1, P < 0.001) in the infective group compared to the noninfective group. Both subgroups (systemic vs local infection) were balanced for demographics. All-cause major complication including deaths was significantly higher (9.1%, n = 15 vs 3.2%, n = 11, P = 0.008) as well as all-cause 30-day mortality (7.9%, n  = 13 vs 2.1%, n = 7, P = 0.003) in the systemic infection subgroup compared to the local infection subgroup. CONCLUSION: Patients undergoing TLE for infective indications are at greater risk of 30-day all-cause mortality compared to noninfective patients. Patients undergoing TLE for systemic infective indications are at greater risk of 30-day all-cause mortality compared to patients with local infection. Renal impairment, systemic infection, and elevated preprocedure C-reactive protein are independent predictors of 30-day all-cause mortality in patients undergoing TLE for an infective indication.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Marca-Passo Artificial / Infecções Relacionadas à Prótese / Desfibriladores Implantáveis / Remoção de Dispositivo Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Marca-Passo Artificial / Infecções Relacionadas à Prótese / Desfibriladores Implantáveis / Remoção de Dispositivo Idioma: En Ano de publicação: 2019 Tipo de documento: Article