Transvenous Lead Extraction—Hot Topics in Lead Management
A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Disease Prevention".
Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 4298
Interests: electrotherapy; atrial fibrillation; cardiac ablation
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The total number of implantations of complex devices used in the treatment of arrhythmias and advanced heart failure is growing every year. At the same time, the number of complications related to the presence of cardiac implantable electronic devices (CIEDs) is also increasing. Transvenous lead extraction is currently the key procedure in patients with complications related to CIEDs. The effectiveness of this method is high (generally greater than 90%) and the risk of major complications is about 0.4–3.4%, with a risk of death of 0.00–1.86%. In recent years, we have observed an increase in the frequency of procedures along with an increase in the number of TLE centers. It is very important to present new experiences regarding lead extraction techniques and the organization of centers aimed at improving the safety of procedures. The exchange of experience in this area is very important in terms of improving effectiveness and minimizing complications, the most dangerous of which are related to damage to the heart and vessels. At the same time, TLE is becoming the most important element of lead management, thus increasing the role of the lead extraction as a preventive procedure. Over the years, we are observing a changing profile of indications for TLE, from the prevalence of infectious indications towards an increase in lead removal for non-infectious reasons. Patients with leads potentially threatening the development of complications, especially infectious complications, are qualified for TLE procedures in experienced electrotherapy centers. The field of lead management has not yet been analyzed in detail in the literature.
This Special Issue of International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge about transvenous lead extraction. New research papers, reviews and case reports are welcome to this Special Issue. Papers dealing with new approaches to lead management are especially welcome. We will also accept manuscripts from different disciplines, including echocardiography and other diagnostic methods used in the diagnosis of complications related to CIEDs.
Dr. Andrzej Głowniak
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- lead and tricuspid valve
- disparities of lead management in children and juveniles
- significance of incomplete lead extraction
- management of extracted lead remnant
- rupture lead during extraction
- renewed lead extraction
- assessment of the extent of infection in CIED carriers
- echocardiography in transvenous lead extraction
- difficulties during
- transvenous lead extraction
- lead-related venous obstruction