{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T20:49:10Z","timestamp":1765486150694,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,28]],"date-time":"2017-11-28T00:00:00Z","timestamp":1511827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Chronic venous occlusion hampers lead revisions and upgrades in patients with a cardiac implantable electronic devices (CIEDs). This can make cardiothoracic surgery, venoplasty, or contra\u2010lateral implantation of leads with tunneling necessary. A technique using venous recanalization may be a preferred alternative. We assessed the efficacy and safety of this new technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>From 2009 to 2016, all consecutive patients planned for lead revision or upgrade with known chronic venous occlusion were studied. All patients underwent extraction of an existing malfunctional or functional CIED lead with the Cook Evolution mechanical power sheath. By using the lumen of the sheath, endovascular access to the heart was obtained for new leads. Forty\u2010two patients (107 leads, 2.6 \u00b1 1.1) were included. The indication for this procedure was replacement of malfunctional leads (n\u00a0=\u00a035, 83%) or device upgrade (n\u00a0=\u00a07, 17%). In total, 77 leads were extracted (30 leads stayed <jats:italic>in situ<\/jats:italic>) with a mean age at time of extraction of 8.4 years. Because of damage to bystander leads during extraction, two additional leads (one RA lead, one LV lead) were extracted. Clinical success was achieved in 41 patients (97%) and complete success in 39 patients (93%). There were two minor complications (two pocket hematomas, managed conservatively) and one major complication (tamponade, needing thoracotomy). Mean procedure time was 3.0\u00a0hours (median, 2.0; range, 1:28\u20135:35\u00a0hours) with a mean fluoroscopy time of 14.9 \u00b1 12.5\u00a0minutes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The technique of Evolution\u2010mediated recanalization in case of lead revisions or upgrades is feasible with an acceptable safety profile and high efficacy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13389","type":"journal-article","created":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T14:02:44Z","timestamp":1510581764000},"page":"316-321","source":"Crossref","is-referenced-by-count":8,"title":["Mechanical\u00a0power sheath mediated recanalization and lead implantation in patients with venous occlusion: Technique and results"],"prefix":"10.1111","volume":"29","author":[{"given":"Olivier A.","family":"Witte","sequence":"first","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Adiyaman","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marnix W.","family":"van Bemmel","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaap Jan J.","family":"Smit","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Ghani","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand R. Ramdat","family":"Misier","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8436-8635","authenticated-orcid":false,"given":"Arif","family":"Elvan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter Paul H.M.","family":"Delnoy","sequence":"additional","affiliation":[{"name":"Department of Cardiology Isala Heart Centre  Zwolle the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2007.01058.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2012.10.045"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.7.809"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht150"},{"key":"e_1_2_6_6_1","first-page":"108","article-title":"Task Force per il Trattamento dei Pazienti con Aritmie Ventricolari e la Prevenzione della Morte Cardiaca Improvvisa della Societ\u00e0 Europea di Cardiologia. [2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac Death. The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology]","volume":"17","author":"Priori SG","year":"2016","journal-title":"G Ital Cardiol (Rome)"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euv391"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-010-9516-2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.11.1348"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2012.04.008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.5301\/JVA.2010.1064"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eut163"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2013.08.002"},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2017.09.001","article-title":"2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction","author":"Kusumoto FM","year":"2017","journal-title":"Heart Rhythm"},{"key":"e_1_2_6_15_1","first-page":"1717","article-title":"Success and complication rates of lead extraction with the first\u2010 vs. the second\u2010generation Evolution mechanical sheath","volume":"19","author":"Witte OA","year":"2017","journal-title":"Europace"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur338"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eut126"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.976076"},{"key":"e_1_2_6_19_1","unstructured":"BarakatAF HusseinAA TarakjiKG Cardiac implantable electronic device infection: Variability in clinical presentation and outcomes in patients with or without previously abandoned leads. European Society of Cardiology Congress 2016; August. 27 2016; Rome Italy. Abstract P216"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00074-1"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2005.00163.x"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.13389","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.13389","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T19:57:31Z","timestamp":1695758251000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.13389"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,28]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/jce.13389"],"URL":"https:\/\/doi.org\/10.1111\/jce.13389","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"type":"print","value":"1045-3873"},{"type":"electronic","value":"1540-8167"}],"subject":[],"published":{"date-parts":[[2017,11,28]]}}}