Research Article

Risk Factors Predicting Complications of Transvenous Lead Extraction

Table 1

Clinical risk factor analysis of transvenous lead extraction.

VariablesAll patientsUncomplicated proceduresMajor complicationsMinor complicationsPeriprocedural death30-day mortality
all procedures

Number of patients (number, %)1915 (100%)1790 (93.5%)34 (1.8%)91 (4.8%)7 (0.4%)28 (1.5%)

Patient-dependent risk factors

Patient’s age at TLE (mean, SD median, IQR)64.8364.99
±15.95±15.73±17.20±18.91±11.06±10.20
68.0068.0067.0069.0072.0072,00
[58.00-76.00][58.00-76.00]3-7[56.00-76.00][65.00-80.00][65.00-80.00]

Female gender (n, %)822 (42.90)749 (41.20) (70.60) (53.80) (71.4) (57.1)

BMI (kg/m2) (mean, SD median, IQR)27.4827.29
±6.82±4.12±3.59±3.96±1.86±4.68
27.1427.2826.7025.8326.3725.76
[24.03-30.44)[24.03-30.47][24.86-30.19][22.49-29.75] [25.48-27.24][21.23-27.76]

NYHA functional class (mean, SD median, IQR)1.641.64
±0.72±0.72±0.71±0.71±0.79±0.89
2 -2 -1 -1-1-2-

NYHA classes I and II (n, %)1675 (87.50)1566 (87.50) (88.20) (86.80) (85.7) (60.7)

NYHA classes III and IV (n, %)240 (12.50)224 (12.50) (11.80) (13.20) (14.3) (39.3)

Left ventricular ejection fraction LVEF (mean, SD median, IQR)38.9138.74
±13.40±13.40±13.26±13.48±14.64±14.03
41.8841.8845.5444.5342.0034.95
[30.24-46.53][29.47-46.53][34.01-48.59][37.37-47.71][29.50-50.00][21.28-37.99]

Diabetes types I and II (n, %)357 (18.6)335 (18.7) (11.8) (19.8) (14.3) (35.7)

Chronic renal failure (CRF) creatinine level (mean, SD median, IQR)1.171.16
±0.73±0.69±0.67±1.30±0.62±1.61
1.001.001.001.101.101.50
[0.84-1.28][0.88-1.25][0.80-1.25][0.80-1.30][1.00-1.30][1.20-2.10]

CRF creatinine level>2 mg/dl (n, %)107 (5,59)93 (5.20) (11.8) (11.0) (14.3) (35.7)

Malignancy (n, %)116 (6.06)109 (6.09) (5.88) (5.49) (14.3) (7.14)

Hemoglobin concentration (mean, SD median, IQR)13.1713.2
±2.79±1.83±2.23±2.29±2.00±2.59
13.3013.4012.1511.8013.0012.20
[12.00-14.40][12.10-14.40][10.40-14.00][10.70-13.70][11.50-14.20][8.80-13.60]

Hemoglobin concentration<12 g/dl (n,%)463 (24.18)396 (22.12) (44.12) (47.25) (28.57) (50)

Valvular cardiac implant (n, %)113 (5.90)100 (5.59) (2.94) (13.3) (0.00) (10.7)

Prior sternotomy (n, %)291 (15.2)256 (14.90) (5.88) (25.3) (0.00) (28.6)

Permanent AF (n, %)429 (22.4)406 (22.7) (14.7)18 (19.8)2 (28.6)10 (35.7)

Chronic anticoagulation (n, %)653 (34.1)617 (34.5)8 (23.5)28 (30.8)2 (28.6)11 (39.3)

Chronic antiplatelet therapy (n, %)798 (41.7)764 (42.7)10 (29.4) (26.4)1 (14.3)10 (35.7)

Cardiac device infections (n, %)773 (41.3)716 (40.0)12 (35.3)45 (49.5)5 (71.4) (78.6)

Lead-related infective endocarditis (LRIE) ( n%)527 (27.5)480 (26.8)11 (32.4) (39.6)4 (57.1) (67.9)

Isolated LRIE (n, %)217 (11.3)191 (10.7)7 (20.6) (20.9)3 (42.9) (39.3)

Pocket infection (PI) (n, %)556 (29.0)525 (29.3)5 (14.7)26 (28.6)2 (28.6)11 (39.3)

Vegetations (n, %)383 (20.0)347 (19.4)7 (20.6)29 (31.9)2 (28.6) (50.0)

Large vegetations
(2-4 vs. 0-1 cm) (n, %)
209 (10.9)182 (10.2)6 (17.6)21 (23.1) (28.6) (32.1)

Vegetations connected with heart wall (n, %)37 (1.93)34 (1.90)0 (0.00)4 (4.40)0 (0.00)2 (7.14)

Multiple vegetations (n, %)191 (9.97)173 (9.66)3 (8.82)15 (16.5)1 (14.3) (25.0)

NS: nonsignificant; P < 0.05; P < 0.01; P < 0.001 (when compared to noncomplicated procedures).