المؤلفون: Hayashi, Katsuhide, Callahan, Thomas, Rickard, John, Younis, Arwa, Baranowski, Bryan, Martin, David, Nakhla, Shady, Tabaja, Chadi, Wilkoff, Bruce L

المساهمون: Deb family endowed chair in Lead Management

المصدر: Europace ; volume 25, issue 12 ; ISSN 1099-5129 1532-2092

مصطلحات موضوعية: Physiology (medical), Cardiology and Cardiovascular Medicine

الوصف: Aims Transvenous lead extraction (TLE) of implantable cardioverter-defibrillator (ICD) leads is considered challenging. The structure of each ICD leads is variable between manufacturer and model families. The net impact of lead family on the safety and effectiveness of TLE is poorly characterized. We assessed the safety and efficacy of ICD TLE and the impact of manufacturer ICD model family on the outcomes. Methods and results The study cohort included all consecutive patients with ICD who underwent TLE between 2013 and 2022 and are enrolled in the Cleveland Clinic Prospective TLE Registry. A total of 885 ICD leads (median implant duration 8 years) in 810 patients were included. Complete ICD TLE success was achieved in 97.2% of the leads (n = 860) and in 98.0% of the patients (n = 794). Major complications occurred in 22 patients (2.7%). Complete procedural success rate varied by manufacturer and lead family; Medtronic 98.9%, Abbott 95.9%, Boston Scientific 95.0%, Biotronik 91.2%, P = 0.03, and Linox family leads had the lowest, 89.7% P = 0.02. Multivariable predictors of incomplete ICD lead removal included ICD lead age > 10 years and Linox family lead. Multivariable predictors of major complications included ICD lead age > 15 years and longer lead extraction time, and predictors of all-cause mortality within 30 days included lead extraction for infection, end-stage renal disease, and higher New York Heart Association functional class. Conclusion Complete and safe ICD lead removal rate by TLE is extremely high but varied by manufacturer and lead family. Linox family lead and >10 years lead age were independent predictors of incomplete lead removal.

الإتاحة: https://doi.org/10.1093/europace/euad345Test
https://academic.oup.com/europace/article-pdf/25/12/euad345/54693566/euad345.pdfTest

المؤلفون: Hayashi, Katsuhide, Abe, Haruhiko, Olshansky, Brian, Sharma, Arjun D, Jones, Paul W, Wold, Nicholas, Perschbacher, David, Kohno, Ritsuko, Richards, Mark, Wilkoff, Bruce L

المصدر: Europace ; volume 25, issue 9 ; ISSN 1099-5129 1532-2092

مصطلحات موضوعية: Physiology (medical), Cardiology and Cardiovascular Medicine

الوصف: Aims Heart rate score (HRSc), the per cent of atrial paced and sensed event in the largest 10 b.p.m. rate histogram bin of a pacemaker, predicts survival in patients with cardiac devices. No correlation between HRSc and development of atrial fibrillation (AF) has been reported. In this study, we evaluated the relationship between pacemaker post-implantation HRSc and the incidence of newly developed atrial tachyarrhythmias (ATAs). Methods and results Patients with dual-chamber pacemakers, implanted 2013–17, with the LATITUDE remote monitoring data with ≥600 000 beats of histogram data collected at baseline were included (N = 34 543). Heart rate score was determined from the initial 3-month post-implantation histogram data. Patients were excluded if they had ATAs, defined as atrial high-rate episodes >5 min or >1% of right atrial beats >170 b.p.m. during the initial 3 months post-implantation. New ATAs, after the baseline period, were defined by each of the following: >1, >10, or >25% of atrial beats >170 b.p.m. or atrial tachycardia response (ATR) events >24 h. Patients were followed a median of 2.8 (1.0–4.0) years. The incidence of ATAs increased in proportion to HRSc (log-rank P-value <0.001), and the initial HRSc ≥70% was associated with increased ATAs by all definitions. Patients with initial HRSc ≥70% were older, had a higher percentage of right atrium pacing (%RA pacing), had a lower percentage of right ventricular pacing (%RV pacing), and were more likely programmed with rate-response vs. subjects with HRSc <70%. Initial HRSc (hazard ratio: 1.07, 95% confidence interval: 1.05–1.09; P < 0.0001) independently predicted ATAs after adjusting for age, gender, %RV pacing, and rate-response programming. The %RA pacing and initial HRSc were correlated. Conclusion Heart rate score independently predicts any subsequent duration of ATAs in pacemaker patients.

الإتاحة: https://doi.org/10.1093/europace/euad242Test
https://academic.oup.com/europace/article-pdf/25/9/euad242/51176452/euad242.pdfTest

المؤلفون: Hayashi, Katsuhide¹, Callahan, Thomas¹ CALLAHT@ccf.org, Rickard, John¹, Baranowski, Bryan¹, Martin, David O.¹, Nakhla, Shady¹, Tabaja, Chadi¹, Paul, Aritra¹, Wilkoff, Bruce L.¹

المصدر: Journal of Cardiovascular Electrophysiology. Jul2024, Vol. 35 Issue 7, p1382-1392. 11p.

مصطلحات موضوعية: *PATIENT safety, *RESEARCH funding, *TREATMENT effectiveness, *MEDICAL device removal, *DESCRIPTIVE statistics, *LONGITUDINAL method, *IMPLANTABLE cardioverter-defibrillators, *CARDIAC pacemakers, *MEDICAL equipment reliability

مصطلحات جغرافية: OHIO

مستخلص: Introduction: Reports of comparison with procedural outcomes for implantable cardioverter defibrillator (ICD) and pacemaker (PM) transvenous lead extraction (TLE) are old and limited. We sought to compare the safety, efficacy, and procedural properties of ICD and PM TLE and assess the impact of lead age. Methods: The study cohort included all consecutive patients with ICD and PM TLE in the Cleveland Clinic Prospective TLE Registry between 2013 and 2022. Extraction success, complications, and failure employed the definitions described in the HRS 2017 TLE guidelines. Results: A total of 885 ICD leads, a median implant duration of 8 (5−11) years in 810 patients, and 1352 PM leads of 7 (3−13) years in 807 patients were included. Procedural success rates in ICD patients were superior to those of PM in >20 years leads but similar in ≤20 years leads. In the PM group, the complete success rate of TLE decreased significantly according to the increase of lead age, but not in the ICD group. ICD TLE required more extraction tools compared with PM TLE but cases with older leads required non‐laser sheath extraction tools in both groups. The most common injury site in major complication cases differed between ICD and PM TLE, although major complication rates showed no difference in both groups (2.7% vs. 1.6%, p =.12). Conclusion: The procedural success rate by TLE is greater for ICD patients than PM patients with leads >20 years old but requires more extraction tools. Common vascular complication sites and the impact of lead age on procedural outcomes and required tools differed between ICD and PM TLE. [ABSTRACT FROM AUTHOR]

المؤلفون: Hayashi, Katsuhide, Abe, Haruhiko, Olshansky, Brian, Sharma, Arjun D, Jones, Paul W, Wold, Nicholas, Perschbacher, David, Kohno, Ritsuko, Lip, Gregory Y H, Varma, Niraj, Wilkoff, Bruce L

المصدر: Heart Rhythm ; ISSN:1556-3871

مصطلحات موضوعية: Atrial fibrillation, Outcomes, Pacemaker, Rate responsive pacing, Sinus node dysfunction

الوصف: Heart Rate Score (HRSc), the percent of atrial depolarizations in the largest paced/sensed 10-bpm histogram bin recorded in cardiac devices, is associated with several adverse outcomes but it remains uncertain if HRSc independently predicts atrial high-rate episodes (AHREs) in patients with sinus node dysfunction (SND) undergoing pacemaker (PM) implantation.

العلاقة: https://doi.org/10.1016/j.hrthm.2024.06.046Test; https://pubmed.ncbi.nlm.nih.gov/38936446Test

الإتاحة: https://doi.org/10.1016/j.hrthm.2024.06.046Test
https://pubmed.ncbi.nlm.nih.gov/38936446Test

المؤلفون: Hayashi, Katsuhide, Koyama, Junjiroh, Okumura, Ken, Abe, Haruhiko, Wilkoff, Bruce L.

المصدر: Journal of Arrhythmia ; volume 38, issue 6, page 1102-1105 ; ISSN 1880-4276 1883-2148

الإتاحة: https://doi.org/10.1002/joa3.12791Test

المؤلفون: Hayashi, Katsuhide, Tsurugi, Takuo, Koyama, Junjiroh, Okumura, Ken, Abe, Haruhiko, Wilkoff, Bruce L.

المصدر: HeartRhythm Case Reports ; volume 8, issue 10, page 702-706 ; ISSN 2214-0271

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine

الإتاحة: https://doi.org/10.1016/j.hrcr.2022.07.019Test
https://api.elsevier.com/content/article/PII:S2214027122001506?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S2214027122001506?httpAccept=text/plainTest

المؤلفون: Hayashi, Katsuhide, Okumura, Ken, Okamatsu, Hideharu, Kaneko, Shozo, Negishi, Koudai, Tsurugi, Takuo, Tanaka, Yasuaki, Nakao, Koichi, Sakamoto, Tomohiro, Koyama, Jyunjiro

الوصف: Backgrounds: Localization of the esophagus and the left atrium (LA) posterior wall thickness (LAPWT) should be taken into account when delivering radiofrequency energy. Intracardiac echo (ICE) advanced into the LA is useful in visualizing LA and surrounding structure by its high and real-time resolution. Methods: In 73 patients (mean age, 68±12; paroxysmal AF in 45), 3-dimensional (3D) esophagus image was created with CARTO Soundstar® and its location was compared with contrast esophagography saved in Carto UNIVU™. LAPWT adjacent to the esophagus was measured at 4 levels: left superior PV (LSPV), intervenous carina (IC), left inferior PV (LIPV), and LIPV bottom. A target AI value was 260 (25W power) on the esophagus region. Results: All patients had the esophagus posterior to the left PV antrum. Creating 3D esophagus and measurement of LAPWT with ICE was done without any complications. ICE esophagus image was completely overlapped with contrast esophagography. LAPWT (mm) was 2.8 (interquartile range, 2.5-3.2), 2.2 (1.9-2.5), 1.9 (1.8-2.1), and 2.1 (1.9-2.4) for LSPV, IC, LIPV and LIPV bottom, respectively, while LA roof thickness 3.2 (2.9-3.6) (P<0.0001 by ANOVA). No residual conduction gap on the esophagus after the first circumferential PV isolation was found in 64 of 73 (88%) patients. Conclusions: ICE inserted into the LA can reliably locate and display the esophagus and its relationship to the LA. LAPWT was thinnest at LIPV level. AI-guide ablation targeting a relatively low target AI value 260 on the esophagus seemed to be effective.

الإتاحة: https://doi.org/10.22541/au.170667969.96263971/v1Test

المؤلفون: Kohno, Ritsuko, Hayashi, Katsuhide, Oginosawa, Yasushi, Abe, Haruhiko

المصدر: Circ J ; ISSN:1347-4820 ; Volume:88 ; Issue:7

العلاقة: https://doi.org/10.1253/circj.CJ-24-0310Test; https://pubmed.ncbi.nlm.nih.gov/38763734Test

الإتاحة: https://doi.org/10.1253/circj.CJ-24-0310Test
https://pubmed.ncbi.nlm.nih.gov/38763734Test

المؤلفون: Tabaja, Chadi, Younis, Arwa, Santangeli, Pasquale, Madden, Ruth, Taigen, Tyler, Farwati, Medhat, Hayashi, Katsuhide, Braghieri, Lorenzo, Rickard, John, Klein, Benjamin M., Paul, Aritra, Dresing, Thomas J., Martin, David O., Bhargava, Mandeep, Kanj, Mohamed, Sroubek, Jakub, Nakagawa, Hiroshi, Saliba, Walid I., Wazni, Oussama M., Hussein, Ayman A.

المصدر: Journal of Interventional Cardiac Electrophysiology ; ISSN 1572-8595

مصطلحات موضوعية: Physiology (medical), Cardiology and Cardiovascular Medicine

الإتاحة: https://doi.org/10.1007/s10840-023-01659-wTest

المؤلفون: Hayashi, Katsuhide, Younis, Arwa, Callahan, Thomas, Baranowski, Bryan, Martin, David O., Nakhla, Shady, Wilkoff, Bruce L.

المصدر: Heart Rhythm ; volume 20, issue 6, page 872-878 ; ISSN 1547-5271

مصطلحات موضوعية: Physiology (medical), Cardiology and Cardiovascular Medicine

الإتاحة: https://doi.org/10.1016/j.hrthm.2023.03.015Test
https://api.elsevier.com/content/article/PII:S1547527123002448?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S1547527123002448?httpAccept=text/plainTest