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

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
› Author Affiliations
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.