Usefulness of Preoperative Venography in Patients with Cardiac Implantable Electronic Devices Submitted to Lead Replacement or Device Upgrade Procedures

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art_ALBERTINI_Usefulness_of_Preoperative_Venography_in_Patients_with_Cardiac_2018.PDF (438.97 KB)
Citações na Scopus
14
Tipo de produção
article
Data de publicação
2018
Editora
ARQUIVOS BRASILEIROS CARDIOLOGIA
DOI
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SciELO
Scopus
Web of Science
PubMed
Título da Revista
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Título do Volume
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Autor de Grupo de pesquisa
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Citação
ARQUIVOS BRASILEIROS DE CARDIOLOGIA, v.111, n.5, p.686-695, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Venous obstructions are common in patients with transvenous cardiac implantable electronic devices, but they rarely cause immediate clinical problems. The main consequence of these lesions is the difficulty in obtaining venous access for additional leads implantation. Objectives: We aimed to assess the prevalence and predictor factors of venous lesions in patients referred to lead reoperations, and to define the role of preoperative venography in the planning of these procedures. Methods: From April 2013 to July 2016, contrast venography was performed in 100 patients referred to device upgrade, revision and lead extraction. Venous lesions were classified as non-significant (< 50%), moderate stenosis (51-70%), severe stenosis (71-99%) or occlusion (100%). Collateral circulation was classified as absent, discrete, moderate or accentuated. The surgical strategy was defined according to the result of the preoperative venography. Univariate analysis was used to investigate predictor factors related to the occurrence of these lesions, with 5% of significance level. Results: Moderate venous stenosis was observed in 23%, severe in 13% and occlusions in 11%. There were no significant differences in relation to the device side or the venous segment. The usefulness of the preoperative venography to define the operative tactic was proven, and in 99% of the cases, the established surgical strategy could be performed according to plan. Conclusions: The prevalence of venous obstruction is high in CIED recipients referred to reoperations. Venography is highly indicated as a preoperative examination for allowing the adequate surgical planning of procedures involving previous transvenous leads.
Palavras-chave
Pacemaker, implantable defibrillators, phlebography, venous stenosis, extraction of leads, risk factors
URI
https://observatorio.fm.usp.br/handle/OPI/29856
Referências
  1. Abu-El-Haija B, 2015, J AM HEART ASSOC, V4, DOI 10.1161/JAHA.115.001878
  2. Aryana A, 2007, AM J CARDIOL, V99, P1765, DOI 10.1016/j.amjcard.2007.01.065
  3. Baarslag HJ, 2002, ANN INTERN MED, V136, P865, DOI 10.7326/0003-4819-136-12-200206180-00007
  4. Baldt MM, EVALUATION DEEP VENO
  5. BETTMANN MA, 1988, CARDIOVASC INTER RAD, V11, pS15, DOI 10.1007/BF02577091
  6. Boczar K, 2016, ADV CLIN EXP MED, V25, P83, DOI 10.17219/acem/42317
  7. Brignole M, 2013, EUROPACE, V15, P1070, DOI 10.1093/europace/eut206
  8. Costa R, 2009, PACE, V32, pS247, DOI 10.1111/j.1540-8159.2008.02295.x
  9. da Costa SSD, 2002, PACE, V25, P1301
  10. de Oliveira JC, 2009, CIRC-ARRHYTHMIA ELEC, V2, P29, DOI 10.1161/CIRCEP.108.795906
  11. Epstein AE, 2013, CIRCULATION, V127, pE283, DOI 10.1161/CIR.0b013e318276ce9b
  12. FRITZ T, 1983, CHEST, V83, P534, DOI 10.1378/chest.83.3.534
  13. Greenspon AJ, 2011, J AM COLL CARDIOL, V58, P1001, DOI 10.1016/j.jacc.2011.04.033
  14. Haghjoo M, 2007, EUROPACE, V9, P328, DOI 10.1093/europace/eum019
  15. Harris PA, 2009, J BIOMED INFORM, V42, P377, DOI 10.1016/j.jbi.2008.08.010
  16. Harrison JL, 2015, HEART, V101, P250, DOI 10.1136/heartjnl-2014-306873
  17. Hosoda J, 2014, CIRC J, V78, P1846, DOI 10.1253/circj.CJ-14-0104
  18. Klug D, 2007, CIRCULATION, V116, P1349, DOI 10.1161/CIRCULATIONAHA.106.678664
  19. Korkeila P, 2007, PACE, V30, P199, DOI 10.1111/j.1540-8159.2007.00650.x
  20. Korkeila P, 2010, EUROPACE, V12, P817, DOI 10.1093/europace/euq075
  21. Li XB, 2014, EUROPACE, V16, P1795, DOI 10.1093/europace/euu124
  22. Lickfett L, 2004, EUROPACE, V6, P25, DOI 10.1016/j.eupc.2003.09.001
  23. Lin CT, 1999, JPN HEART J, V40, P477, DOI 10.1536/jhj.40.477
  24. Martinelli Filho M, 2007, ARQ BRAS CARDIOL, V89, pe210, DOI 10.1590/S0066-782X2007001800011
  25. MARX E, 1972, Z KREISLAUFFORSCH, V61, P115
  26. Ministerio da Saude, DATASUS SECR EX
  27. Mond HG, 2015, HEART LUNG CIRC, V24, P291, DOI 10.1016/j.hlc.2014.09.017
  28. Mustafa BO, 2002, ARCH INTERN MED, V162, P401, DOI 10.1001/archinte.162.4.401
  29. Noheria A, 2016, EUROPACE, V18, P246, DOI 10.1093/europace/euv038
  30. Oginosawa Y, 2002, PACE, V25, P1605, DOI 10.1046/j.1460-9592.2002.01605.x
  31. Pieper CC, 2015, ROFO-FORTSCHR RONTG, V187, P1029, DOI 10.1055/s-0035-1553351
  32. Rozmus G, 2005, J INTERV CARD ELECTR, V13, P9, DOI 10.1007/s10840-005-1140-1
  33. Sbragia P, 2003, J INTERV CARD ELECTR, V9, P25, DOI 10.1023/A:1025364303082
  34. STONEY WS, 1976, ANN THORAC SURG, V22, P166, DOI 10.1016/S0003-4975(10)63980-X
  35. Uslan DZ, 2007, ARCH INTERN MED, V167, P669, DOI 10.1001/archinte.167.7.669
  36. Van Rooden CJ, 2004, J CARDIOVASC ELECTR, V15, P1258, DOI 10.1046/j.1540-8167.2004.04081.x
  37. Yancy CW, 2013, J AM COLL CARDIOL, V62, pE147, DOI 10.1016/j.jacc.2013.05.019

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/11
Artigos e Materiais de Revistas Científicas - ODS/03