open access
ILEEM-survey on the Heart Team approach and team training for lead extraction procedures
, 4, 5, 6, 7, 8, 910, 11, 8, 12, 13, 14, 15, 16, 17
Affiliations- German Heart Center Berlin, Department of Cardiothoracic and Vascular Surgery, Berlin, Germany
- German Center of Cardiovascular Research (DZHK), partner site Berlin, Berlin, Germany
- Steinbeis University Berlin, Institute (STI) of Cardiovascular Perfusion, Berlin, Germany
- Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands
- Department of Cardiology, Isala Hospital, Zwolle, The Netherlands
- University of Utah Sciences Center, Salt Lake City, Utah, United States
- Department of Cardiology, Medical University of Lublin, Poland
- Cardiology Clinical Academic Group, St. George’s University Hospitals NHS Foundation Trust, London, United Kingdom
- Department of Cardiology, Tokyo Women’s Medical University, Tokyo, Japan
- Department of Cardiovascular Medicine, Shinshu University School of Medicine, Matsumoto, Japan
- UNC REX Healthcare, Cardiac Surgical Specialists, Raleigh, North Carolina, United States
- Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden
- Department for Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic
- Heart Center, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
- Department of Arrhythmology and Cardiac Pacing Unit, IRCCS Ospedale San Raffaele, Milan, Italy
- Division of Electrophysiology and Pacing, Department of Cardiology, University Heart Center Zurich, Switzerland
- Green Lane Cardiovascular Service, Auckland City Hospital, and University of Auckland, New Zealand
open access
Abstract
Background: The Heart Team approach has become an integral part of modern cardiovascular medicine. To evaluate current opinions and real-world practice among lead extraction practitioners, an online survey was created and distributed among a pool of lead extraction specialists participating in the International Lead Extraction Expert Meeting (ILEEM) 2018.
Methods: The online survey consisted of 10 questions and was performed using an online survey tool (www.surveymonkey.com). The collector link was sent to 48 lead extraction experts via email.
Results: A total of 43 answers were collected (89% return rate) from lead extraction experts in 16 different countries. A great majority (83.7%) of the respondents performed more than 30 lead extraction procedures per year. The most common procedural environment in this survey was the hybrid operating room (67.4%). Most procedures were performed by electrophysiologists and cardiologists (80.9%). Important additional members of the current lead extraction teams were cardiac surgeons (79.1%), anesthesiologists (95.3%) and operating room scrub nurses (76.7%). An extended Heart Team is regarded beneficial for patient care by 86.0%, with potential further members being infectious diseases specialists, intensivists and radiologists. Team training activities are performed in 48.8% of participating centers.
Conclusions: This survey supports the importance of establishing lead extraction Heart Teams in specialized lead extraction centers to potentially improve patient outcomes. The concept of a core and an extended Heart Team approach in lead extraction procedures is introduced.
Abstract
Background: The Heart Team approach has become an integral part of modern cardiovascular medicine. To evaluate current opinions and real-world practice among lead extraction practitioners, an online survey was created and distributed among a pool of lead extraction specialists participating in the International Lead Extraction Expert Meeting (ILEEM) 2018.
Methods: The online survey consisted of 10 questions and was performed using an online survey tool (www.surveymonkey.com). The collector link was sent to 48 lead extraction experts via email.
Results: A total of 43 answers were collected (89% return rate) from lead extraction experts in 16 different countries. A great majority (83.7%) of the respondents performed more than 30 lead extraction procedures per year. The most common procedural environment in this survey was the hybrid operating room (67.4%). Most procedures were performed by electrophysiologists and cardiologists (80.9%). Important additional members of the current lead extraction teams were cardiac surgeons (79.1%), anesthesiologists (95.3%) and operating room scrub nurses (76.7%). An extended Heart Team is regarded beneficial for patient care by 86.0%, with potential further members being infectious diseases specialists, intensivists and radiologists. Team training activities are performed in 48.8% of participating centers.
Conclusions: This survey supports the importance of establishing lead extraction Heart Teams in specialized lead extraction centers to potentially improve patient outcomes. The concept of a core and an extended Heart Team approach in lead extraction procedures is introduced.
Keywords
lead extraction, Heart Team, team training, pacemaker, ICD
About this articleTitle
ILEEM-survey on the Heart Team approach and team training for lead extraction procedures
Journal
Issue
Article type
Original Article
Pages
481-488
Published online
2020-08-14
Page views
5362
Article views/downloads
973
DOI
10.5603/CJ.a2020.0106
Pubmed
Bibliographic record
Cardiol J 2022;29(3):481-488.
Keywords
lead extraction
Heart Team
team training
pacemaker
ICD
Authors
Christoph T. Starck
Frank Bracke
Peter-Paul Delnoy
Roger A. Freedman
Andrzej Kutarski
Mark Gallagher
Morio Shoda
Robert Peyton
Manav Sohal
Frederik Gadler
Kamil Sedlacek
Juha Hartikainen
Patrizio Mazzone
Alexander Breitenstein
Nigel Lever
References (12)- Baumgartner H, Falk V, Bax JJ, et al. ESC Scientific Document Group. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017; 38(36): 2739–2791.
- Neumann FJ, Ahlsson A, Alfonso F, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2018; 34(10): 2449–2496.
- Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur J Cardiothorac Surg. 2016; 50(5): e1–e88.
- Ponikowski P, Voors AA, Anker SD, et al. ESC Scientific Document Group. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016; 37(27): 2129–2200.
- Habib G, Lancellotti P, Antunes M, et al. 2015 ESC Guidelines for the management of infective endocarditis. Eur Heart J. 2015; 36(44): 3075–3128.
- Kusumoto FM, Schoenfeld MH, Wilkoff BL, et al. 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction. Heart Rhythm. 2017; 14(12): e503–e551.
- Bongiorni MG, Kennergren C, Butter C, et al. ELECTRa Investigators. The European Lead Extraction ConTRolled (ELECTRa) study: a European Heart Rhythm Association (EHRA) Registry of Transvenous Lead Extraction Outcomes. Eur Heart J. 2017; 38(40): 2995–3005.
- Pavlidis AN, Perera D, Karamasis GV, et al. Implementation and consistency of Heart Team decision-making in complex coronary revascularisation. Int J Cardiol. 2016; 206: 37–41.
- Sanchez CE, Dota A, Badhwar V, et al. Revascularization heart team recommendations as an adjunct to appropriate use criteria for coronary revascularization in patients with complex coronary artery disease. Catheter Cardiovasc Interv. 2016; 88(4): E103–E112.
- Deshmukh A, Patel N, Noseworthy PA, et al. Trends in Use and Adverse Outcomes Associated with Transvenous Lead Removal in the United States. Circulation. 2015; 132(25): 2363–2371.
- Vatterott P, Syed I, Khan A. Lead extraction imaging. Cardiac Electrophysiol Clin. 2018; 10(4): 625–636.
- Ahmed FZ, James J, Cunnington C, et al. Early diagnosis of cardiac implantable electronic device generator pocket infection using ¹⁸F-FDG-PET/CT. Eur Heart J Cardiovasc Imaging. 2015; 16(5): 521–530.
