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シヨウダ モリオ
SHODA Morio
庄田 守男 所属 医学部 医学科（東京女子医科大学病院） 職種 寄附部門教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Prognosis after lead extraction in patients with cardiac implantable electronic devices infection: Comparison of lead-related infective endocarditis with pocket infection in a Japanese single-center experience. |
| 掲載誌名 | 正式名：Journal of arrhythmia 略 称：J Arrhythm ISSNコード：18804276/18832148 |
| 掲載区分 | 国内 |
| 出版社 | Japanese Heart Rhythm Society |
| 巻・号・頁 | 35(4),pp.654-663 |
| 著者・共著者 | Nishii Nobuhiro, Morimoto Yoshimasa, Miyoshi Akihito, Tsukuda Saori, Miyamoto Masakazu, Kawada Satoshi, Nakagawa Koji, Watanabe Atsuyuki, Nakamura Kazufumi, Morita Hiroshi, Morimatsu Hiroshi, Kusano Nobuchika, Kasahara Shingo, Shoda Morio, Ito Hiroshi |
| 発行年月 | 2019/08 |
| 概要 | Background:The increase in the use of cardiac implantable electronic devices (CIEDs) has been associated with an increase in CIED-related infections. Transvenous lead extraction is safe and effective for patients with CIED-related infections; however, the mortality rate in these patients is high. The prognosis after transvenous lead extraction in Japanese patients, especially those with lead-related infective endocarditis, has not been evaluated. Then, the purpose of this study is to clarify the prognosis after transvenous lead extraction in Japanese patients with CIED-related infections at a single Japanese center.
Methods:A total of 107 patients who underwent transvenous lead extraction were retrospectively reviewed. The patients were divided into a lead-related infective endocarditis group (n = 32) and a pocket infection group (n = 75). Procedure success rate and prognosis after lead extraction were evaluated between the two groups. Results:Procedure success rate was not significantly different between the groups. There were no deaths associated with the procedure or with infection. The survival rate was not significantly different at 1 year or at a median of 816 days (lead-related infective endocarditis vs pocket infection; 93.7% vs 94.7%, P = 1.000; 78.1% vs 81.3%, P = 0.791) Time to reimplantation and duration of hospital stay and antibiotics therapy were significantly longer for patients with lead-related infective endocarditis. Conclusion:In this study, the prognosis for patients with lead-related infective endocarditis after transvenous lead extraction was favorable. Thus, extraction should be strongly recommended, even if the general condition of the patient is poor. |
| DOI | 10.1002/joa3.12164 |
| PMID | 31410236 |