Overview
The KOBES registry is an all-comers prospective clinical registry of the cooperative Köln Bonn lead extraction center. All patients undergoing complex lead extraction procedures (i.e. indwelling leads > 6months) in the hybrid operating room with cardiothoracic standby will be included in the registry. Preoperative, intraoperative/procedural and postoperative parameters will be recorded. All patients will be asked to provide written informed consent. Data will be pseudonomyzed and entered into a data sheet. Data will be monitored by a board and evaluated independently.
Description
The following parameters will be included in the registry Preoperative
- General
-
- pacemaker / ICD indication
- Ejektionsfraktion
- previous cardiac surgery / TAVR
- specific cardiac disease: IHD, CMP (DCM, HCM, andere), Primary electrical disease if
- ICD
- primary / secondary prevention concomitant disease:HTN, DM
- CRF; GFR (ml/min)
- if yes: dialysis ?
- anticoagulation / antithrombotic therapy: Ja/Nein
- Indication
-
- infection (local/systemic), classification
- blood culture positive/negative
- swab positive
- classification
- TEE: pos/neg
- Device malfunction
- Phlebography y/n
- Vascular access y/n
- Number of Leads and Type
- uni/bipolar / age / abandoned leads
- ICD-leads: single-/dual-coil, age / abandoned leads
- Intraoperative
- General
-
- type of anaethesia
- TEE y/n
- Safety wire y/n
- temporary pacing wire y/n
- Access
-
- Subclavia r/l/bil
- Femoral: y/n; if yes: planned / Bailout: geplant Tools
- LLD: y/n; Number
- Mechanical sheath and type
- Laser sheath
- Additional tools: Loop-Snare / Needle-Eye Snare / Rat-Tooth Result : extraction: complete / partial / failed
- procedural success: y/n
- infection: procedural / clinial success
- Safety lead y/n
- temporary pacing wire in situ Intraoperative complications
- vascular injury
- pericardial effusion / tamponade
- pericardiocentesis
- occlusion ballon
- thoracotomy
- Intraoperative catecholamines
- death
- Postoperative
-
- duration
- hospital stay
- postoperative active system
- transvenous / epicardial / capsule/ subcutaneous / extravascular
- type of pacemaker
- type of ICD
- Wenn ja: transvenös / subkutan
Postoperative complications:
- hematoma / seroma / fistula
- further interventions: Revision / hematoma/ reinfection
Eligibility
Inclusion Criteria:
- All patients with a standard indication for lead extraction according to the HRS / EHRA guidelines
Exclusion Criteria:
- None