Table 4.
TLE procedure complexity, efficacy, complications, outcomes and long-term mortality after TLE. Classification according to the occurrence of LDTVD.
| TLE Procedure Complicity, Efficacy, Complications, Outcomes and Long-Term Mortality after TLE | LDTVD (All Patients with LDTVD) | NO LDTVD (Control Group) | |||
|---|---|---|---|---|---|
| Number of Patients Number of the Group | 119 | 1 | 2559 | 2 | p |
| Presented Values | Count/Average | %/Sd | Count/Average | %/Sd | 1 vs. 2 |
| TLE procedure complexity | |||||
| Procedure duration (sheath to sheath) | 29.66 | 35.90 | 14.44 | 21.60 | 0.242 |
| Average time of single lead extraction (sheath-to sheath/number of extracted leads) | 11.05 | 17.24 | 8.64 | 12.03 | 0.512 |
| Technical problem during TLE (any) | 29 | 24.37% | 531 | 20.75% | 0.356 |
| Number of big technical problems | 1.71 | 1.15 | 1.34 | 0.65 | 0.153 |
| One technical problem only | 16 | 13.45% | 322 | 12.58% | 0.842 |
| Two or more technical Problems | 12 | 10.08% | 113 | 4.42% | 0.007 |
| Utility of additional tools | |||||
| Evolution (old and new) or TighRail | 6 | 5.04% | 38 | 1.49% | 0.008 |
| Lasso catheter/snare | 9 | 7.56% | 94 | 3.67% | 0.050 |
| Basket catheter | 1 | 0.84% | 19 | 0.74% | 0.683 |
| TLE efficacy and complications | |||||
| Major complications (any) | 1 | 0.84% | 50 | 1.95% | 0.613 |
| Hemopericardium | 1 | 0.84% | 28 | 1.09% | 0.834 |
| Haemothorax | 0 | 0.00% | 3 | 0.31% | 0.298 |
| Tricuspid valve damage (significant) during TLE | 0 | 0.00% | 17 | 0.66% | 0.771 |
| Rescue cardiac surgery | 0 | 0.00% | 23 | 0.90% | 0.604 |
| Minor complications (any) | 14 | 11.76% | 204 | 7.98% | 0.172 |
| Death procedure related (intra, post-procedural) | 0 | 0.00% | 0 | 0.00% | N |
| Death indication-related (intra, post-procedural) | 0 | 0.00% | 1 | 0.04% | 0.026 |
| Partial radiological success (remained tip or < 4 cm lead fragment) | 10 | 8.40% | 93 | 3.63% | 0.014 |
| Full clinical success | 118 | 99.16% | 2504 | 97.85% | 0.17 |
| Full procedural success | 108 | 90.76% | 2446 | 95.58% | 0.191 |
| Long-term mortality after TLE | |||||
| Alive during 1658 ± 1203 (1–5519) days of follow up | 78 | 65.55% | 1796 | 70.18% | 0.329 |
| Death during all 1658 ± 1203 (1–5519) days of follow up | 41 | 34.45% | 763 | 29.82% | 0.329 |
Abbreviations: LDTV—lead dependent tricuspid valve dysfunction, TLE—transvenous lead extraction.