Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019
Abstract Along with the incremental cases of cardiac implantable electronic devices implantation or upgrade, the lead‐related complications are also in rise year after year. The most common and serious lead‐related complication is infection that needs a transvenous lead extraction (TLE) as the first...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-04-01
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| Series: | Journal of Arrhythmia |
| Online Access: | https://doi.org/10.1002/joa3.12678 |
| _version_ | 1819025688450039808 |
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| author | Morio Shoda Kengo Kusano Masahiko Goya Nobuhiro Nishii Katsuhiko Imai Yoji Okamoto Misa Takegami Yoko M. Nakao Yoshihiro Miyamoto Akihiko Nogami Wataru Shimizu J‐LEX registry investigators |
| author_facet | Morio Shoda Kengo Kusano Masahiko Goya Nobuhiro Nishii Katsuhiko Imai Yoji Okamoto Misa Takegami Yoko M. Nakao Yoshihiro Miyamoto Akihiko Nogami Wataru Shimizu J‐LEX registry investigators |
| author_sort | Morio Shoda |
| collection | DOAJ |
| description | Abstract Along with the incremental cases of cardiac implantable electronic devices implantation or upgrade, the lead‐related complications are also in rise year after year. The most common and serious lead‐related complication is infection that needs a transvenous lead extraction (TLE) as the first‐line therapy. TLE is also performed for abandoned leads in case of lead failure or device upgrade, and for lead‐related trouble such as pain, vessel stenosis or occlusion, too many leads, tricuspid valve regurgitation, and difficulty of radiation therapy. This registration has been performed by the Japanese Heart Rhythm Society and started in July 2018. The first reported data of the Japanese Lead Extraction (J‐LEX) from July 2018 to December 2019 were underestimated since the number of patients and hospitals increased gradually because of the approval process of each hospital’s IRB. The TLE procedure was attempted to 1253 leads among 661 patients. Complete removal was achieved in 96.7% of the target leads and the clinical success was obtained in 98.9% of the patients. Perioperative complications were observed in 4.1% of the patients. The annual J‐LEX report reflects a real‐world TLE medicine in Japan and demonstrates that the clinical outcome is similar to former reports from high‐volume centers in North America and European countries. |
| first_indexed | 2024-12-21T05:14:39Z |
| format | Article |
| id | doaj.art-305ee3af553e4a60a399b714d0c05a3a |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-12-21T05:14:39Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-305ee3af553e4a60a399b714d0c05a3a2022-12-21T19:14:57ZengWileyJournal of Arrhythmia1880-42761883-21482022-04-0138218719110.1002/joa3.12678Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019Morio Shoda0Kengo Kusano1Masahiko Goya2Nobuhiro Nishii3Katsuhiko Imai4Yoji Okamoto5Misa Takegami6Yoko M. Nakao7Yoshihiro Miyamoto8Akihiko Nogami9Wataru Shimizu10J‐LEX registry investigatorsClinical Research Division of Heart Rhythm Management, Department of Cardiology Tokyo Women’s Medical University Tokyo JapanDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita JapanDepartment of Cardiovascular Medicine Heart Rhythm Center, Tokyo Medical and Dental University Tokyo JapanDepartment of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences Okayama JapanDepartment of Cardiovascular Surgery, National Hospital Organization Kure Medical Center & Chugoku Cancer Center Kure JapanAoi home healthcare clinic Okayama JapanDepartment of Preventive Medicine and Epidemiology National Cerebral and Cardiovascular Center Suita JapanDepartment of Medical and Health Information Management National Cerebral and Cardiovascular Center Suita JapanDepartment of Medical and Health Information Management National Cerebral and Cardiovascular Center Suita JapanDepartment of Cardiology, Faculty of Medicine University of Tsukuba Tsukuba JapanDepartment of Cardiovascular Medicine Nippon Medical School Tokyo JapanAbstract Along with the incremental cases of cardiac implantable electronic devices implantation or upgrade, the lead‐related complications are also in rise year after year. The most common and serious lead‐related complication is infection that needs a transvenous lead extraction (TLE) as the first‐line therapy. TLE is also performed for abandoned leads in case of lead failure or device upgrade, and for lead‐related trouble such as pain, vessel stenosis or occlusion, too many leads, tricuspid valve regurgitation, and difficulty of radiation therapy. This registration has been performed by the Japanese Heart Rhythm Society and started in July 2018. The first reported data of the Japanese Lead Extraction (J‐LEX) from July 2018 to December 2019 were underestimated since the number of patients and hospitals increased gradually because of the approval process of each hospital’s IRB. The TLE procedure was attempted to 1253 leads among 661 patients. Complete removal was achieved in 96.7% of the target leads and the clinical success was obtained in 98.9% of the patients. Perioperative complications were observed in 4.1% of the patients. The annual J‐LEX report reflects a real‐world TLE medicine in Japan and demonstrates that the clinical outcome is similar to former reports from high‐volume centers in North America and European countries.https://doi.org/10.1002/joa3.12678 |
| spellingShingle | Morio Shoda Kengo Kusano Masahiko Goya Nobuhiro Nishii Katsuhiko Imai Yoji Okamoto Misa Takegami Yoko M. Nakao Yoshihiro Miyamoto Akihiko Nogami Wataru Shimizu J‐LEX registry investigators Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019 Journal of Arrhythmia |
| title | Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019 |
| title_full | Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019 |
| title_fullStr | Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019 |
| title_full_unstemmed | Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019 |
| title_short | Japanese Lead EXtraction (J‐LEX) registry: Annual report 2019 |
| title_sort | japanese lead extraction j lex registry annual report 2019 |
| url | https://doi.org/10.1002/joa3.12678 |
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