Safety and Efficacy of Transvenous Lead Extraction With a High-Frequency Excimer Laser ― A Single Center Experience ―
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- Yoshitake Takakatsu
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Goya Masahiko
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Sasaki Takeshi
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Shiohira Shinya
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Sekigawa Masahiro
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Shirai Yasuhiro
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Lee Kiko
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Yagishita Atsuhiko
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Maeda Shingo
- Advanced Arrhythmia Research, Tokyo Medical and Dental University
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- Takahashi Yoshihide
- Advanced Arrhythmia Research, Tokyo Medical and Dental University
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- Kawabata Mihoko
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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- Hirao Kenzo
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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<p>Background: Transvenous lead extractions have been performed using 40-Hz laser sheaths. Recently, a new 80-Hz laser sheath became available, but only a few reports have compared the effectiveness of the 40- and 80-Hz laser sheaths. </p><p>Methods and Results: This study included 215 patients. Lead extractions using only laser sheaths were analyzed. The clinical characteristics, extraction parameters, and extraction tools were evaluated. The procedures were performed with 40-Hz sheaths in 150 patients (group 1: 270 leads) and 80-Hz sheaths in 65 (group 2: 99 leads). No statistically significant differences were observed in the clinical parameters except for sex. The mean implant duration was 95.3±86.0 and 78.2±56.8 months in groups 1 and 2, respectively (P=0.07). The respective mean laser time and number of laser pulses were 48.5±52.1 and 48.1±56.1 s (P=0.96) and 2,035.0±2,384.0 and 3,955.1±2,339.3 pulses (P<0.0001). Complete removal was achieved for 97.4% of the leads and in 98.0% in both groups (P=0.38). Major complications occurred in 2.0% and 3.1% of the patients in groups 1 and 2, respectively (P=0.94). </p><p>Conclusions: Transvenous lead extraction using high-frequency laser sheaths was as highly successful as with low-frequency laser sheaths in Japanese patients. </p>
収録刊行物
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- Circulation Journal
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Circulation Journal 82 (12), 2992-2997, 2018-11-24
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390282763071862144
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- NII論文ID
- 130007521285
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 029358243
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- PubMed
- 30318499
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 使用不可