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Article

Transvenous Lead Extraction SAFeTY Score for Risk Stratification and Proper Patient Selection for Removal Procedures Using Mechanical Tools

1
Second Department of Cardiology, Medical University of Silesia in Katowice, School of Medicine with the Division of Dentistry in Zabrze, 40-055 Katowice, Poland
2
Faculty of Medicine and Health Sciences, The Jan Kochanowski University, 25-369 Kielce, Poland
3
Department of Cardiology, Swietokrzyskie Cardiology Center, 45, Grunwaldzka St., 25-736 Kielce, Poland
4
Acute Cardiac Care Unit, Swietokrzyskie Cardiology Center, 45, Grunwaldzka St., 25-736 Kielce, Poland
5
Department of Cardiology, Medical University Lublin, 20-059 Lublin, Poland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(2), 361; https://doi.org/10.3390/jcm9020361
Received: 7 January 2020 / Revised: 17 January 2020 / Accepted: 21 January 2020 / Published: 28 January 2020
(This article belongs to the Section Vascular Medicine)
Background: To ensure the safety and efficacy of the increasing number of transvenous lead extractions (TLEs), it is necessary to adequately assess the procedure-related risk. Methods: We analyzed potential clinical and procedural risk factors associated with 2049 TLE procedures. The TLEs were performed between 2006 and 2016 using only simple tools for lead extraction. Logistic regression analysis was used to develop a risk prediction scoring system for TLEs. Results: Multivariate analysis showed that the sum of lead dwell times, anemia, female gender, the number of procedures preceding TLE, and removal of leads implanted in patients under the age of 30 had a significant influence on the occurrence of major complications during a TLE. This information served as a basis for developing a predictive SAFeTY TLE score, where: S = sum of lead dwell times, A = anemia, Fe = female, T = treatment (previous procedures), Y = young patients, and TLE = transvenous lead extraction. In order to facilitate the use of the SAFeTY TLE Score, a simple calculator was constructed. Conclusion: The SAFeTY TLE score is easy to calculate and predicts the potential occurrence of procedure-related major complications. High-risk patients (scoring more than 10 on the SAFeTY TLE scale) must be treated at high-volume centers with surgical backup. View Full-Text
Keywords: transvenous lead extraction; risk factors; procedural safety transvenous lead extraction; risk factors; procedural safety
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MDPI and ACS Style

Jacheć, W.; Polewczyk, A.; Polewczyk, M.; Tomasik, A.; Kutarski, A. Transvenous Lead Extraction SAFeTY Score for Risk Stratification and Proper Patient Selection for Removal Procedures Using Mechanical Tools. J. Clin. Med. 2020, 9, 361. https://doi.org/10.3390/jcm9020361

AMA Style

Jacheć W, Polewczyk A, Polewczyk M, Tomasik A, Kutarski A. Transvenous Lead Extraction SAFeTY Score for Risk Stratification and Proper Patient Selection for Removal Procedures Using Mechanical Tools. Journal of Clinical Medicine. 2020; 9(2):361. https://doi.org/10.3390/jcm9020361

Chicago/Turabian Style

Jacheć, Wojciech, Anna Polewczyk, Maciej Polewczyk, Andrzej Tomasik, and Andrzej Kutarski. 2020. "Transvenous Lead Extraction SAFeTY Score for Risk Stratification and Proper Patient Selection for Removal Procedures Using Mechanical Tools" Journal of Clinical Medicine 9, no. 2: 361. https://doi.org/10.3390/jcm9020361

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