Computed Tomography-Guided Risk Assessment in Percutaneous Lead Extraction.

ABSTRACT:

Objectives

The aim of this study was to assess if pre-procedural computed tomography (CT) could identify high-risk operative features and predict increased procedural complexity.

Background

Unpredictable lead adhesions can make lead extraction complicated. Adhesions are known to affect leads with longer indwelling time but can unpredictably affect newer leads.

Methods

Consecutive patients who had CTs performed ≤90 days before their planned lead extraction (LE) were included. CTs were reviewed blinded to outcome according to a preset checklist. The outcome was a combined endpoint of procedural complexity and major complications.

Results

Between January 1, 2015 and July 1, 2018, 143 patients underwent CT and LE. Median age was 68 years (interquartile range [IQR]:

SUBMITTER: Svennberg E 

PROVIDER: S-EPMC7718020 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature