title: From lead management to implanted patient management: systematic review and meta-analysis of the last 15 years of experience in lead extraction.
abstract: Percutaneous lead extraction is considered a safe and effective procedure, although published results derive primarily from cohort studies. The authors performed a systematic review and meta-analysis of the last 15 years' experience in this field, to give an objective evaluation of the efficacy and safety of this procedure. Moreover, the subsequent metaregression analysis enabled the identification of the main factors influencing these results: patient age, presence of leads in situ for more than 1 year, presence of device infection and use of laser sheath. These findings are significant in order to improve our extraction approach, data reporting and future research.
authors.affiliation: Institute of Cardiology, Department of Experimental Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy. igor.diemberger@unibo.it
authors.forename: Igor
authors.initials: I
authors.lastname: Diemberger
authors.forename: Andrea
authors.initials: A
authors.lastname: Mazzotti
authors.forename: Mauro Biffi
authors.initials: MB
authors.lastname: Giulia
authors.forename: Mauro
authors.initials: M
authors.lastname: Biffi
authors.forename: Massaro
authors.initials: M
authors.lastname: Cristian
authors.forename: Giulia
authors.initials: G
authors.lastname: Massaro
authors.forename: Martignani
authors.initials: M
authors.lastname: Matteo
authors.forename: Cristian
authors.initials: C
authors.lastname: Martignani
authors.forename: Ziacchi Maria
authors.initials: ZM
authors.lastname: Letizia
authors.forename: Matteo
authors.initials: M
authors.lastname: Ziacchi
authors.forename: Bacchi
authors.initials: B
authors.lastname: Reggiani
authors.forename: Maria Lb
authors.initials: ML
authors.lastname: Reggiani
authors.forename: Paola
authors.initials: P
authors.lastname: Battistini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Boriani
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D010138:Pacemaker, Artificial