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Retrieval of the Leadless Cardiac Pacemaker: A Multicenter Experience

VY. Reddy, MA. Miller, RE. Knops, P. Neuzil, P. Defaye, W. Jung, R. Doshi, M. Castellani, A. Strickberger, RH. Mead, H. Doppalapudi, D. Lakkireddy, M. Bennett, J. Sperzel,

. 2016 ; 9 (12) : .

Jazyk angličtina Země Spojené státy americké

Typ dokumentu klinické zkoušky, časopisecké články, multicentrická studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc17023447

BACKGROUND: Leadless cardiac pacemakers have emerged as a safe and effective alternative to conventional transvenous single-chamber ventricular pacemakers. Herein, we report a multicenter experience on the feasibility and safety of acute retrieval (<6 weeks) and chronic retrieval (>6 weeks) of the leadless cardiac pacemaker in humans. METHODS AND RESULTS: This study included patients enrolled in 3 multicenter trials, who received a leadless cardiac pacemaker implant and who subsequently underwent a device removal attempt. The overall leadless pacemaker retrieval success rate was 94%: for patients whose leadless cardiac pacemaker had been implanted for <6 weeks (acute retrieval cohort), complete retrieval was achieved in 100% (n=5/5); for those implanted for ≥ 6 weeks (chronic retrieval cohort), retrieval was achieved in 91% (n=10/11) of patients. The mean duration of time from implant to retrieval attempt was 346 days (range, 88-1188 days) in the chronic retrieval cohort, and nearly two thirds (n=7; 63%) had been implanted for >6 months before the retrieval attempt. There were no procedure-related adverse events at 30 days post retrieval procedure. CONCLUSIONS: This multicenter experience demonstrated the feasibility and safety of retrieving a chronically implanted single-chamber (right ventricle) active fixation leadless pacemaker. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifiers: NCT02051972, NCT02030418, and NCT01700244.

Citace poskytuje Crossref.org

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$a Reddy, Vivek Y $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.) vivek.reddy@mountsinai.org.
245    10
$a Retrieval of the Leadless Cardiac Pacemaker: A Multicenter Experience / $c VY. Reddy, MA. Miller, RE. Knops, P. Neuzil, P. Defaye, W. Jung, R. Doshi, M. Castellani, A. Strickberger, RH. Mead, H. Doppalapudi, D. Lakkireddy, M. Bennett, J. Sperzel,
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$a BACKGROUND: Leadless cardiac pacemakers have emerged as a safe and effective alternative to conventional transvenous single-chamber ventricular pacemakers. Herein, we report a multicenter experience on the feasibility and safety of acute retrieval (<6 weeks) and chronic retrieval (>6 weeks) of the leadless cardiac pacemaker in humans. METHODS AND RESULTS: This study included patients enrolled in 3 multicenter trials, who received a leadless cardiac pacemaker implant and who subsequently underwent a device removal attempt. The overall leadless pacemaker retrieval success rate was 94%: for patients whose leadless cardiac pacemaker had been implanted for <6 weeks (acute retrieval cohort), complete retrieval was achieved in 100% (n=5/5); for those implanted for ≥ 6 weeks (chronic retrieval cohort), retrieval was achieved in 91% (n=10/11) of patients. The mean duration of time from implant to retrieval attempt was 346 days (range, 88-1188 days) in the chronic retrieval cohort, and nearly two thirds (n=7; 63%) had been implanted for >6 months before the retrieval attempt. There were no procedure-related adverse events at 30 days post retrieval procedure. CONCLUSIONS: This multicenter experience demonstrated the feasibility and safety of retrieving a chronically implanted single-chamber (right ventricle) active fixation leadless pacemaker. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifiers: NCT02051972, NCT02030418, and NCT01700244.
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$a Miller, Marc A $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Knops, Reinoud E $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Neuzil, Petr $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Defaye, Pascal $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Jung, Werner $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Doshi, Rahul $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Castellani, Mark $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Strickberger, Adam $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Mead, R Hardwin $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Doppalapudi, Harish $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Lakkireddy, Dhanunjaya $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Bennett, Matthew $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
700    1_
$a Sperzel, Johannes $u From the Helmsley Center for Electrophysiology, Icahn School of Medicine at Mount Sinai, New York, NY (V.Y.R., M.A.M.); Department of Cardiology, Amsterdam Medical Center, The Netherlands (R.E.K.); Department of Cardiology, Homolka Hospital, Prague, Czech Republic (V.Y.R., P.N.); Department of Cardiology, CHU, Grenoble, France (P.D.); Department of Cardiology, Schwarzwald Baar Klinikum, Villingen-Schwenningen, Germany (W.J.); Division of Cardiovascular Diseases, USC University Hospital, Los Angeles, CA (R.D.); Department of Cardiology, Sparrow Research, Lansing, MI (M.C.); Department of Cardiology, Inova Fairfax Hospital, VA (A.S.); Department of Cardiology, Sequoia Hospital, Redwood City, CA (R.H.M.); Department of Cardiology, University of Alabama, Birmingham (H.D.); Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City (D.L.); Division of Cardiology, Vancouver General Hospital, British Columbia, Canada (M.B.); and Department of Cardiology, Hospital Kerckhoff Klinik, Bad Nauheim, Germany (J.S.).
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