Abstract 12153: Safety and Effectiveness of Lead Extraction in Octogenarians: Results from a Multicenter Study
Introduction. As the population ages, the number of elderly patients with implantable cardiac devices referred for transvenous lead extraction will dramatically increase in Western countries. The safety and effectiveness of lead extraction in elderly patients has not been well evaluated. We report the safety and effectiveness of transvenous lead extraction in octogenarians.
Methods. From January 2005 to December 2010 we collected data from consecutive patients ≥80 years referred to our Institutions for transvenous lead extraction due to cardiac device infection or lead malfunction. Clinical characteristics, procedural features, and periprocedural major and minor complications were prospectively collected.
Results. Out of 842 patients undergoing lead extraction in the participating Institutions during the study period, 143 (17%) patients were octogenarians (mean age 84 years, range 80-96; 61% males). A significantly higher percentage of patients with ≥80 years presented with chronic renal failure (54% vs. 26%, P <0.001), history of malignancy (27% vs. 6%, P<0.001) and chronic obstructive pulmonary disease (46% vs. 19%, P<0.001). Complete lead extraction rates were similar in the two age groups (97% in octogenarians vs. 96% in patients <80 years, P=0.54). Procedural-related death occurred in 2 (1.4%) patients ≥80 years and in 5 (0.72%) patients <80 years (P=0.41 for comparison). No differences in terms of other periprocedural complications were found between the two age groups.
Conclusion. Despite presenting with a significantly higher rate of comorbidities, transvenous lead extraction can be performed safely and successfully in octogenarians.
- © 2011 by American Heart Association, Inc.