Retrieval of Long-Term Implanted Leadless Pacemakers: A Single-Center Experience

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023884%3A_____%2F20%3A00008739" target="_blank" >RIV/00023884:_____/20:00008739 - isvavai.cz</a>

Result on the web

<a href="https://www.sciencedirect.com/science/article/abs/pii/S2405500X20305065" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S2405500X20305065</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jacep.2020.06.010" target="_blank" >10.1016/j.jacep.2020.06.010</a>

Result language

angličtina

Original language name

Retrieval of Long-Term Implanted Leadless Pacemakers: A Single-Center Experience

Original language description

OBJECTIVES The authors report their single-center experience with the retrieval and replacement of long-term implanted leadless cardiac pacemakers (LPs) and the factors contributing to success. BACKGROUND LPs are a clinically effective and safe alternative to standard transvenous pacemakers for single-chamber ventricular pacing. However, the feasibility of retrieving and replacing long-term implanted LPs is not well known. METHODS A total of 34 patients with implanted Nanostim LPs (mean implantation duration 1,570 +/- 479 days) subsequently underwent retrieval. On the basis of fluoroscopic imaging, the cohort was divided into 2 groups: those with remarkable swinging movement (SM) of the LP docking button (n = 25) and those without SM (n = 9). RESULTS The overall LP retrieval success rate was 85% (n = 29). New leadless devices were implanted in 27 patients immediately after LP retrieval. No procedure-related adverse events occurred. The rate of successful LP retrieval was significantly higher in the SM group (25 of 25 [100%]) than in the no-SM group (4 of 9 [44%]) (p < 0.001), and fluoroscopy time during the retrieval procedure was shorter in the SM group (12.7 +/- 8.6 min) than in the no-SM group (45.6 +/- 19 min) (p < 0.001). CONCLUSIONS This study demonstrated the feasibility and safety of retrieval of long-term implanted LPs after a mean duration of 4 years. Retrieval was most successful in patients whose docking buttons exhibited significant SM. (C) 2020 by the American College of Cardiology Foundation.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

JACC: Clinical Electrophysiology

ISSN

2405-500X

e-ISSN

—

Volume of the periodical

6

Issue of the periodical within the volume

14

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

1744-1751

UT code for WoS article

000602753200002

EID of the result in the Scopus database

2-s2.0-85090482155