Open Access
Thorac Cardiovasc Surg 2019; 67(S 01): S1-S100
DOI: 10.1055/s-0039-1678794
Oral Presentations
Sunday, February 17, 2019
DGTHG: Arrhythmie/Sondenextraktion/Schrittmachertherapie
Georg Thieme Verlag KG Stuttgart · New York

The German Laser Lead Extraction Registry: GALLERY

Authors

  • S. Pecha

    1   Universitäres Herzzentrum Hamburg, Klinik und Poliklinik für Herz- und Gefäßchirurgie, Hamburg, Germany

  • H. Burger

    2   Kerckhoff-Klinik, Herzchirurgie, Bad Nauheim, Germany

  • V. Möller

    3   Herzzentrum Brandenburg, Kardiologie, Bernau bei Berlin, Germany

  • T. Madej

    4   Herzzentrum Dresden, Klinik für Herzchirurgie, Dresden, Germany

  • B. Osswald

    5   Universitätsklinikum Düsseldorf, Klinik für Kardiovaskuläre Chirurgie, Düsseldorf, Germany

  • A. Maali

    6   Herzzentrum Coswig, Herz- und Gefäßchirurgie, Coswig, Germany

  • R. De Simone

    7   Universitätsklinikum Heidelberg, Klinik für Herzchirurgie, Heidelberg, Germany

  • N. Monsefi

    8   Universitätsklinikum Frankfurt, Thorax-, Herz- und Thorakale Gefäßchirurgie, Frankfurt am Main, Germany

  • V. Ziaukas

    9   Schüchtermann-Klinik, Herzchirurgie, Bad Othenfelde, Germany

  • S. Erler

    10   Herz- und Gefässzentrum, Klinik für Herz-Thorax-Chirurgie, Bad Bevensen, Germany

  • H. Elfarra

    11   Universitätsklinikum Marburg, Herz- und Thorakale Gefäßchirurgie, Marburg, Germany

  • M. Perthel

    12   Herzzentrum Bad Segeberg, Herzchirurgie, Bad Segeberg, Germany

  • W. Hemmer

    13   Sana Herzchirurgie Stuttgart, Hemmer, Stuttgart, Germany

  • N. Ghaffari

    14   Helios Klinik für Herzchirurgie Karlsruhe, Herzchirurgie, Karlsruhe, Germany

  • T. Sandhaus

    15   Universitätsklinikum Jena, Klinik für Herz- und Thoraxchirurgie, Jena, Germany

  • H. Busk

    16   Universitätsklinikum Magdeburg, Herz- und Thoraxchirurgie, Magdeburg, Germany

  • J. Schmitto

    17   Medizinische Hochschule Hannover, Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Hannover, Germany

  • V. Bärsch

    18   Helios Klinikum Siegburg, Herzchirurgie und Thoraxchirurgie, Siegburg, Germany

  • J. Easo

    19   Klinikum Oldenburg, Universitätsklinik für Herzchirurgie, Oldenburg, Germany

  • H. Treede

    20   Universitätsklinikum Halle (Saale), Universitätsklinik und Poliklinik für Herzchirurgie, Halle (Saale), Germany

  • M. Albert

    21   Robert-Bosch-Krankenhaus, Herz- und Gefäßchirurgie, Stuttgart, Germany

  • H. Nägele

    22   Albertinen Herz- und Gefäßzentrum, Herzinsuffizienz- und Devicetherapie, Hamburg, Germany

  • D. Zenker

    23   Universitätsmedizin Göttingen, Klinik für Thorax-, Herz- und Gefäßchirurgie, Göttingen, Germany

  • Y. Hegazy

    24   Herzzentrum Lahr, Herz-, Thorax- und Gefäßchirurgie, Lahr, Germany

  • D. Ahmadi

    1   Universitäres Herzzentrum Hamburg, Klinik und Poliklinik für Herz- und Gefäßchirurgie, Hamburg, Germany

  • W. Ehrlich

    2   Kerckhoff-Klinik, Herzchirurgie, Bad Nauheim, Germany

  • M. Knaut

    4   Herzzentrum Dresden, Klinik für Herzchirurgie, Dresden, Germany

  • H. Reichenspurner

    1   Universitäres Herzzentrum Hamburg, Klinik und Poliklinik für Herz- und Gefäßchirurgie, Hamburg, Germany

  • C. Butter

    3   Herzzentrum Brandenburg, Kardiologie, Bernau bei Berlin, Germany

  • S. Hakmi

    1   Universitäres Herzzentrum Hamburg, Klinik und Poliklinik für Herz- und Gefäßchirurgie, Hamburg, Germany
Further Information

Publication History

Publication Date:
28 January 2019 (online)

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Objectives: The German Laser Lead Extraction Registry (GALLERY) is a retrospective, national multicenter registry, investigating the safety and efficacy of laser lead extraction procedures in Germany.

Methods: Twenty-four German centers performing laser lead extraction were participating in the registry. All patients, treated with a laser lead extraction procedure between January 2013 and March 2017, were consecutively enrolled. The primary end point of the study was the lead extraction–related safety, determined by major procedure-related complications. Secondary end point was the complete procedural success rate.

Results: A total of 2,533 consecutive patients with 6,123 leads were included in the registry; 5,515 leads were treated. Mean dwell time was 109.05 ± 71.46 months. Mean number of leads per patient was 2.41 ± 1.02. Out of 5,515, 3,984 were pacing leads and 1,531 were ICD leads. Indications for lead extraction were local infection (35.33%), systemic infection (28.50%), lead dysfunction (30.68%), or other indications (5.49%).

The primary end point of major procedure-related complications occurred in 2.05% of patients. The procedure-related mortality was 0.55%. Complete procedural success rate was 97.79%. Additional mechanical extraction tools or snares were successfully used in 4.42% of the cases. Despite the use of additional tools, the procedural failure rate was 2.21%. The in-hospital mortality was 3.55%, with significantly higher mortality rate in patients with systemic infection, compared with patients with local infection or noninfectious indications for lead extraction (11.08 vs. 0.55%, p < 0.0001).

Conclusion: In the GALLERY, a low procedure-related mortality and high success rate of complete lead extraction have been demonstrated. However, the presence of systemic infection significantly contributes to increase in-hospital mortality, despite successful lead extraction.