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Causes of Early Mortality After Transvenous Lead Removal.

Author: AsirvathamSamuel J, ChaYong-Mei, DeshmukhAbhishek J, FriedmanPaul A, KarikalanSuganya, KusumotoFred M, LeeJustin Z, MulpuruSiva K, ScottLuis, SorajjaDan, SrivathsanKomandoor, TanMin-Choon, ValverdeArturo

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

Infection and decompensated heart failure were the most common causes of early mortality (≤30 days) after transvenous lead removal, highlighting the importance of post-procedure management of these conditions.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Recognition of the causes of early mortality (≤30 days) after transvenous lead removal (TLR) is an essential step for the development of quality improvement programs. OBJECTIVES: This study sought to determine the causes of early mortality after TLR and to further understand the circums...See full text at original site
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引用元：
https://doi.org/10.1016/j.jacep.2022.08.006

データ提供：米国国立医学図書館（NLM）

Navigating the Risks of Transvenous Lead Removal: Uncovering the Causes of Mortality

This study delves into the crucial topic of early mortality after transvenous lead removal (TLR), a procedure used to remove implanted leads from the heart. It's like exploring a vast desert landscape, where each dune represents a potential risk associated with this procedure.

Identifying the Dangers: Understanding the Causes of Death

The study analyzed data from 2,319 patients who underwent TLR over a 20-year period, revealing that the overall 30-day all-cause mortality rate was 3%. The most common cause of death was infection (42%), followed by decompensated heart failure (17%), procedure-related death (10%), sudden cardiac arrest (7%), and respiratory failure (6%). This highlights the importance of recognizing and addressing these risks to improve patient outcomes.

Beyond the Operating Room: The Importance of Post-Procedure Care

The study also found that one-third of deaths (33%) occurred after discharge from the index hospitalization, emphasizing the critical role of post-procedure management in reducing mortality. The main reasons for readmission before death were sepsis and decompensated heart failure. The study stresses the need for increased emphasis on post-procedure management of infection and heart failure to minimize postoperative mortality.

Dr.Camel's Conclusion

This study underscores the importance of recognizing and managing the risks associated with transvenous lead removal, both during and after the procedure. It's like navigating a desert landscape where unexpected challenges can arise, even after reaching a seemingly safe destination. The study emphasizes the critical role of vigilance and appropriate care in ensuring patient safety and minimizing potential complications.
Date :
  1. Date Completed 2022-12-23
  2. Date Revised 2023-01-17
Further Info :

Pubmed ID

36543507

DOI: Digital Object Identifier

10.1016/j.jacep.2022.08.006

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Languages

English

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