Predictors of lead break during transvenous lead extraction Article Swipe
Junji Morita
,
Kyohei Yamaji
,
Michio Nagashima
,
Yusuke Kondo
,
Yohei Sadohara
,
Jun Hirokami
,
Rei Kuji
,
Kengo Korai
,
Masato Fukunaga
,
Kenichi Hiroshima
,
Kenji Andò
,
Masahiko Goya
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/joa3.12524
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/joa3.12524
Background The incidence, predictors, and clinical impact of lead break during transvenous lead extraction (TLE) were previously unknown. Methods We included consecutive patients who underwent TLE between September 2013 and July 2019 at our institute. Lead break during removal was defined as lead stretching and becoming misshapen, as assessed by fluoroscopy. Results A total of 246 patients underwent TLE for 501 leads. At a patient level, complete success was achieved in 226 patients (91.9%). At a lead level, 481 leads (96.0%) were completely removed and 101 leads (20.1%) were broken during the procedure. Of 392 identified pacemaker leads, 71 (18.3%) were broken during the TLE procedure. A multivariable analysis confirmed high lead age (odds ratio [OR] 1.12, 95% confidence interval (CI) 1.07‐1.17; P < .001), passive leads (OR 2.29 95% CI 1.09‐4.80; P = .028), coradial leads (OR 3.45 95% CI 1.72‐6.92; P < .001), and insulators made of nonpolyurethane (OR 2.38 95% CI 1.03‐5.26; P = .04) as predictors of lead break. Broken leads needed longer procedure times and were associated with a higher rate of cardiac tamponade. Conclusions Lead age, coradial bipolar leads, passive leads, and leads without polyurethane insulation were predictors of lead break and could increase the difficulty of lead extraction.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/joa3.12524
- OA Status
- gold
- Cited By
- 23
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3137766944
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3137766944Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/joa3.12524Digital Object Identifier
- Title
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Predictors of lead break during transvenous lead extractionWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-03-15Full publication date if available
- Authors
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Junji Morita, Kyohei Yamaji, Michio Nagashima, Yusuke Kondo, Yohei Sadohara, Jun Hirokami, Rei Kuji, Kengo Korai, Masato Fukunaga, Kenichi Hiroshima, Kenji Andò, Masahiko GoyaList of authors in order
- Landing page
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https://doi.org/10.1002/joa3.12524Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1002/joa3.12524Direct OA link when available
- Concepts
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Lead (geology), Medicine, Confidence interval, Odds ratio, Tamponade, Incidence (geometry), Internal medicine, Cardiac tamponade, Cardiology, Surgery, Geomorphology, Geology, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
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23Total citation count in OpenAlex
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2025: 3, 2024: 5, 2023: 11, 2022: 2, 2021: 2Per-year citation counts (last 5 years)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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