New Insights in Central Venous Disorders. The Role of Transvenous Lead Extractions.

Details

Ressource 1Download: 35282352_BIB_36D82362DFAB.pdf (1420.60 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_36D82362DFAB
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
New Insights in Central Venous Disorders. The Role of Transvenous Lead Extractions.
Journal
Frontiers in cardiovascular medicine
Author(s)
Domenichini G., Le Bloa M., Carroz P., Graf D., Herrera-Siklody C., Teres C., Porretta A.P., Pascale P., Pruvot E.
ISSN
2297-055X (Print)
ISSN-L
2297-055X
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
9
Pages
783576
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Over the last decades, the implementation of new technology in cardiac pacemakers and defibrillators as well as the increasing life expectancy have been associated with a higher incidence of transvenous lead complications over time. Variable degrees of venous stenosis at the level of the subclavian vein, the innominate trunk and the superior vena cava are reported in up to 50% of implanted patients. Importantly, the number of implanted leads seems to be the main risk factor for such complications. Extraction of abandoned or dysfunctional leads is a potential solution to overcome venous stenosis in case of device upgrades requiring additional leads, but also, in addition to venous angioplasty and stenting, to reduce symptoms related to the venous stenosis itself, i.e., the superior vena cava syndrome. This review explores the role of transvenous lead extraction procedures as therapeutical option in case of central venous disorders related to transvenous cardiac leads. We also describe the different extraction techniques available and other clinical indications for lead extractions such as lead infections. Finally, we discuss the alternative therapeutic options for cardiac stimulation or defibrillation in case of chronic venous occlusions that preclude the implant of conventional transvenous cardiac devices.
Keywords
leadless cardiac pacemaker, subcutaneous cardioverter defibrillator, superior vena cava syndrome, transvenous lead extractions, venous stenosis
Pubmed
Web of science
Open Access
Yes
Create date
21/03/2022 9:05
Last modification date
16/01/2024 10:50
Usage data