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The impact of complications related to transvenous lead extraction on the 12-month prognosis: Insights from the SILCARD registry
Affiliations- 3rd Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Silesian Center for Heart Diseases, Medical University of Silesia, Katowice, Poland
- Department of Electrocardiology, Upper-Silesian Heart Center, Katowice, Poland
- Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland
- 2nd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
- Department of Biostatistics, School of Health Sciences in Bytom, Medical University of Silesia, Katowice, Poland
- 1st Department of Cardiology, Medical Faculty in Katowice, Medical University of Silesia, Katowice, Poland
- 1st Department of Cardiology and Angiology, Silesian Center of Heart Diseases Zabrze, Medical University of Silesia, Katowice, Poland
open access
Abstract
Background: Scant data exist on long-term outcomes, including death, in patients with complica-tions related to transvenous lead extractions (TLE).
Aims: We sought to characterize the population and examine the outcomes including risk factors for in-hospital complications and 12-month mortality and morbidity related to the complications in a large administrative database of patients undergoing TLE.
Results: From the database of patients hospitalized for cardiovascular diseases and included in the Silesian Cardiovascular Database (SILCARD) registry, we selected the admissions of those who underwent TLE according to the appropriate ICD-9 codes. The patients were divided into two groups based on whether they did or did not manifest any complications during their hospitalization for the TLE procedure. Between 2007 and 2019, we found a total of 835 patients who underwent TLE. TLE-related complications occurred in 56 patients (6.7%) of the Complications-Yes group while no complications were recorded in 779 (93.3%) patients of the Complications-No group. A significant difference in the rate of all-cause mortality (23.9% vs. 6.5%; P <0.001) and major adverse cardiac events (MACE) (58.7% vs. 39.4%; P = 0.01) between the Complications-Yes and Complications-No groups were recorded. Multivariable analysis of the entire study population revealed that prior dialysis, chronic kidney disease, and ventricular tachycardia were independent factors of a higher risk of TLE-related in-hospital complications. Multivariable analysis of the patients discharged from the hospital after the TLE procedure showed that TLE-related complications, a history of heart failure, and older age independently affected 12-month mortality.
Conclusions: The presence of TLE-related in-hospital complications increased 12-month mortality.
Abstract
Background: Scant data exist on long-term outcomes, including death, in patients with complica-tions related to transvenous lead extractions (TLE).
Aims: We sought to characterize the population and examine the outcomes including risk factors for in-hospital complications and 12-month mortality and morbidity related to the complications in a large administrative database of patients undergoing TLE.
Results: From the database of patients hospitalized for cardiovascular diseases and included in the Silesian Cardiovascular Database (SILCARD) registry, we selected the admissions of those who underwent TLE according to the appropriate ICD-9 codes. The patients were divided into two groups based on whether they did or did not manifest any complications during their hospitalization for the TLE procedure. Between 2007 and 2019, we found a total of 835 patients who underwent TLE. TLE-related complications occurred in 56 patients (6.7%) of the Complications-Yes group while no complications were recorded in 779 (93.3%) patients of the Complications-No group. A significant difference in the rate of all-cause mortality (23.9% vs. 6.5%; P <0.001) and major adverse cardiac events (MACE) (58.7% vs. 39.4%; P = 0.01) between the Complications-Yes and Complications-No groups were recorded. Multivariable analysis of the entire study population revealed that prior dialysis, chronic kidney disease, and ventricular tachycardia were independent factors of a higher risk of TLE-related in-hospital complications. Multivariable analysis of the patients discharged from the hospital after the TLE procedure showed that TLE-related complications, a history of heart failure, and older age independently affected 12-month mortality.
Conclusions: The presence of TLE-related in-hospital complications increased 12-month mortality.
Keywords
complications, implantable electronic devices, lead extraction, registry, safety
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About this articleTitle
The impact of complications related to transvenous lead extraction on the 12-month prognosis: Insights from the SILCARD registry
Journal
Kardiologia Polska (Polish Heart Journal)
Issue
Article type
Original article
Pages
64-71
Published online
2021-10-18
Page views
4365
Article views/downloads
447
DOI
10.33963/KP.a2021.0141
Pubmed
Bibliographic record
Kardiol Pol 2022;80(1):64-71.
Keywords
complications
implantable electronic devices
lead extraction
registry
safety
Authors
Mateusz Tajstra
Krzysztof Stanisław Golba
Anna Kurek
Wojciech Jacheć
Ewa Nowolany-Kozielska
Michał Skrzypek
Katarzyna Mizia-Stec
Eugeniusz Piłat
Anna Drzewiecka
Artur Filipecki
Karol Przyłudzki
Zbigniew Kalarus
Mariusz Gąsior
Adam Sokal
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