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Pecha S, Burger H, Möller V, Madej T, Osswald B, Maali A, De Simone R, Monsefi N, Ziaukas V, Erler S, Elfarra H, Perthel M, Hemmer W, Ghaffari N, Sandhaus T, Busk H, Schmitto J, Bärsch V, Easo J, Treede H, Albert M, Nägele H, Zenker D, Hegazy Y, Ahmadi D, Ehrlich W, Knaut M, Reichenspurner H, Butter C, Hakmi S. The German Laser Lead Extraction Registry: GALLERY. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Pecha S, Petersen J, Alassar Y, Hakmi S, Meyer C, Willems S, Reichenspurner H. Outcome Predictors for Surgical Atrial Fibrillation Ablation Concomitant to Mitral Valve Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Castro L, Pecha S, Amin S, Linder M, Gosau N, Willems S, Reichenspurner H, Hakmi S. Up to 5-Year Follow-up after Transvenous Lead Extraction Procedures. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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54
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Demal J, Pecha S, Castro L, Vogler J, Gosau N, Linder M, Willems S, Reichenspurner H, Hakmi S. In-Hospital Mortality after Transvenous Lead Extraction. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Castro L, Zipfel S, Hakmi S, Reiter B, Söffker G, Lubos E, Rybczinski M, Grahn H, Schrage B, Westermann D, Barten M, Reichenspurner H, Bernhardt A. Impella 5.0 Therapy Decreases Bleeding Complications in Patients after Change from Extracorporeal Life Support. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Petersen J, Hakmi S, Alassar Y, Subbotina I, Wagner M, Meyer C, Willems S, Reichenspurner H, Pecha S. Which Energy Source Is Superior? Bipolar Radiofrequency versus Cryoablation in Concomitant Atrial Fibrillation Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Pecha S, Castro L, Gosau N, Willems S, Reichenspurner H, Hakmi S. Heparin Bridging or Continuation of Oral Anticoagulation for Transvenous Lead Extraction? Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Vogler J, Geisler A, Gosau N, Hakmi S, Willems S, Rassaf T, Wakili R, Kaya E. Triple lead cephalic versus subclavian vein approach in cardiac resynchronization therapy device implantation. Sci Rep 2018; 8:17709. [PMID: 30532064 PMCID: PMC6286359 DOI: 10.1038/s41598-018-35994-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 11/09/2018] [Indexed: 01/26/2023] Open
Abstract
Cardiac resynchronization therapy (CRT) device implantation is associated with severe complications including pneumo- and hemothorax. Data on a sole cephalic vein approach (sCV), potentially preventing these complications, are limited. The aim of our study was to compare a sole cSV with a subclavian vein approach (SV) in CRT implantations with respect to feasibility and safety. We performed a prospective cohort study enrolling twenty-four consecutive de-novo CRT implantations (group A) using a sCV at two centers. Fifty-four age-matched CRT patients implanted via the SV served (group B) as reference. Procedural success rate and complications were recorded during a follow-up of 4 weeks. All CRTs could be implanted in group A, with 91.7% using cephalic access alone. In group B, CRT implantation was successfully performed in 96.3%. Procedure and fluoroscopy duration were similar for both groups (sCV vs. SV: 119 ± 45 vs. 106 ± 31 minutes, 17 ± 9 vs 14 ± 9 minutes). Radiation dosage was higher in sCV group vs. SV (2984 ± 2370 vs. 1580 ± 1316 cGy*cm2; p = 0.001). There was no case of a pneumothorax in group of sCV, while two cases were observed using SV. Overall complication rate was similar (sCV: 13.0% vs. SV: 12.5%). de-novo CRT implantation using a triple cephalic vein approach is feasible. Procedure duration and complication rates were similar, while radiation dosage was higher in the sCV compared to the SV approach. Despite its feasibility in the clinical routine, controlled prospective studies with longer follow-up are required to elucidate a potential benefit with respect to lead longevity.
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Burger H, Schmitt J, Knaut M, Eitz T, Starck CT, Hakmi S, Siebel A, Böning A. Einsatz des tragbaren Kardioverter-Defibrillators nach kardiochirurgischen Eingriffen. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2018. [DOI: 10.1007/s00398-018-0246-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Castro L, Pecha S, Vogler J, Gosau N, Willems S, Reichenspurner H, Hakmi S. The Dilemma After CRT Device Removal: A Bi-ventricular Bridging Solution is Needed. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Zipfel S, Hakmi S, Reiter B, Barten M, Rybczinski M, Kubik M, Kluge S, Reichenspurner H, Bernhardt A. Impella 5.0 as a Bridge-To Bridge Option after Extracorporeal Life Support. Lessons Learned from the First 15 Cases. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Vogler J, Pecha S, Azarrafiy R, Castro L, Deuschl F, Spink C, Linder M, von Hehn U, Willems S, Reichenspurner H, Gosau N, Hakmi S. Navigation of lead extraction—is it possible? Impact of preprocedural electrocardiogram-triggered computed tomography on navigation of lead extraction†. Eur J Cardiothorac Surg 2018; 54:745-751. [DOI: 10.1093/ejcts/ezy106] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 02/15/2018] [Indexed: 11/14/2022] Open
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Bernhardt A, Hillebrand M, Hakmi S, Yildirim Y, Wagner F, Barten M, Reichenspurner H, Lubos E. Percutaneous Left Atrial Venting for Prevention of Pulmonary Edema under Extracorporeal Membrane Oxygenation Therapy. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Pecha S, Castro L, Vogler J, Gosau N, Willems S, Reichenspurner H, Hakmi S. The Bridge Occlusion Balloon as a Safety Net in High-Risk Transvenous Lead Extraction Procedures: A Novel Approach. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bernhardt A, Hakmi S, Levin A, Stehlik J, Edwards L, Wagner F, Benden C, Reichenspurner H. “Old-for-Old” in Lung Transplantation? Insights from the ISHLT Database. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Petersen J, Hakmi S, Wagner F, Reichenspurner H, Pecha S. Should Concomitant Surgical Ablation for Atrial Fibrillation Be Performed in Patients Aged Over 75 Years? Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Castro L, Pecha S, Linder M, Vogler J, Gosau N, Willems S, Reichenspurner H, Hakmi S. Laser Lead Extraction in Patients with Venous Stenosis or Occlusion: System Upgrade or Revision Is Needed. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bernhardt A, Hakmi S, Lietz P, Klatt N, Pamirsad M, Jungen C, Reitmeier A, Willems S, Reichenspurner H, Scherschel K, Meyer C. A New Ex-Vivo Working Heart Model without Ischemia-Reperfusion Damage. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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69
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Bernhardt A, Reiter B, Zipfel S, Yildirim Y, Hakmi S, Barten M, Rybczinski M, Reichenspurner H. Secondary Interventions after Transportation in Patients after ECLS Implantation in Referring Centers. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hakmi S, Pecha S, Castro L, Vogler J, Gosau N, Willems S, Reichenspurner H. The Benefits of Femoral Access in Patients Undergoing Transvenous Lead Extraction via Subclavian Route. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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71
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Pecha S, Petersen J, Hakmi S, Wagner F, Reichenspurner H. Implantable Loop Recorder Monitoring following Concomitant Surgical AF Ablation. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Zipfel S, Reiter B, Yildirim Y, Hakmi S, Barten M, Rybczinski M, Westermann D, Reichenspurner H, Bernhardt A. Secondary LV Unloading after Out-of-hospital ECLS Implantation and Transportation Improved Survival and Probability of Successful Weaning. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Pecha S, Hakmi S, Petersen J, Wagner F, Willems S, Reichenspurner H. Do We Need to Open the Left Atrium for Surgical AF Ablation in Paroxysmal AF Concomitant to CABG or AVR? Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Castro L, Pecha S, Linder M, Vogler J, Gosau N, Meyer C, Willems S, Reichenspurner H, Hakmi S. The wearable cardioverter defibrillator as a bridge to reimplantation in patients with ICD or CRT-D-related infections. J Cardiothorac Surg 2017; 12:99. [PMID: 29178898 PMCID: PMC5702096 DOI: 10.1186/s13019-017-0669-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 11/16/2017] [Indexed: 10/03/2023] Open
Abstract
Background The approach to treat device infection in patients with implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) is a challenging procedure. Optimal treatment is complete extraction of the infected device. To protect these patients from sudden cardiac arrest while waiting for reimplantation and to avoid recurrent infection, a wearable cardioverter defibrillator (WCD) seems to be a valuable solution. Therefore, we investigated the management and outcome of patients with ICD or CRT-D infections using the WCD as a bridge to re-implantation after lead extraction procedures. Methods We conducted a retrospective study on consecutive patients who underwent ICD or CRT-D removal due to device-related local or systemic infections. All patients were prescribed a WCD at our center between 01/2012 and 10/2015. All patients returned to our outpatient clinic for regular ICD or CRT-D monitoring initially 1 and 3 months after reimplantation followed by 6-months intervals. Results Twenty-one patients (mean age 65.0 ± 8.0 years, male 76.2%) were included in the study. Complete lead extraction was achieved in all patients. While waiting for reimplantation one patient experienced a symptomatic episode of sustained ventricular tachycardia. This episode was converted successfully into sinus rhythm by a single 150 J shock. Mean follow-up time 392 ± 206 days, showing survival rate of 100% and freedom from reinfection in all patients. Conclusion The WCD seems to be a valuable bridging option for patients with ICD or CRT-D infections, showing no recurrent device infection.
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Bernhardt AM, Hillebrand M, Yildirim Y, Hakmi S, Wagner FM, Blankenberg S, Reichenspurner H, Lubos E. Percutaneous left atrial unloading to prevent pulmonary oedema and to facilitate ventricular recovery under extracorporeal membrane oxygenation therapy. Interact Cardiovasc Thorac Surg 2017; 26:4-7. [DOI: 10.1093/icvts/ivx266] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Accepted: 07/11/2017] [Indexed: 11/14/2022] Open
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