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  • The GermAn Laser Lead Extra...
    Pecha, Simon; Burger, Heiko; Chung, Da Un; Möller, Viviane; Madej, Tomas; Maali, Alaa; Osswald, Brigitte; De Simone, Raffaele; Monsefi, Nadeja; Ziaukas, Virgilijus; Erler, Stefan; Elfarra, Hamdi; Perthel, Mathias; Wehbe, Mahmoud S; Ghaffari, Naser; Sandhaus, Tim; Busk, Henning; Schmitto, Jan D; Bärsch, Volker; Easo, Jerry; Albert, Marc; Treede, Hendrik; Nägele, Herbert; Zenker, Dieter; Hegazy, Yasser; Ahmadi, Donja; Gessler, Nele; Ehrlich, Wolfgang; Romano, Gabriele; Knaut, Michael; Reichenspurner, Hermann; Willems, Stephan; Butter, Christian; Hakmi, Samer

    Europace (London, England), 10/2022, Letnik: 24, Številka: 10
    Journal Article

    The GermAn Laser Lead Extraction RegistrY: GALLERY is a retrospective, national multicentre registry, investigating the safety and efficacy of laser lead extraction procedures in Germany. Twenty-four German centres that are performing laser lead extraction have participated in the registry. All patients, treated with a laser lead extraction procedure between January 2013 and March 2017, were consecutively enrolled. Safety and efficacy of laser lead extraction were investigated. A total number of 2524 consecutive patients with 6117 leads were included into the registry. 5499 leads with a median lead dwell time of 96 (62-141) months were treated. The mean number of treated leads per patient was 2.18 ± 1.02. The clinical procedural success rate was 97.86% and the complete lead removal was observed in 94.85%. Additional extraction tools were used in 6.65% of cases. The rate of procedural failure was 2.14% with lead age  ≥10 years being its only predictor. The overall complication rate was 4.32%, including 2.06% major and 2.26% minor complications. Procedure-related mortality was 0.55%. Female sex and the presence of abandoned leads were predictors for procedure-related complications. The all-cause in-hospital mortality was 3.56% with systemic infection being the strongest predictor, followed by age ≥75 years and chronic kidney disease. In the GALLERY, a high success- and low procedure-related complication rates have been demonstrated. In multivariate analysis, female sex and the presence of abandoned leads were predictors for procedure-related complications, while the presence of systemic infection, age ≥75 years, and chronic kidney disease were independent predictors for all-cause mortality.