Dataset related to the article "Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience"

<p>This record contains raw data related to the article &quot;Cardiac&nbsp;surgeon&nbsp;and&nbsp;electrophysiologist&nbsp;shoulder-to-shoulder&nbsp;approach:&nbsp;Hybrid&nbsp;room, a&nbsp;kingdom&nbsp;for&nbsp;two. A&nbsp;zero&nbsp;mortality&nbsp;transvenous&nbsp;lead&nbsp;extraction&nbsp;single&nbsp;center&nbsp;experience&quot;</p> <p>&nbsp;</p> <p>ABSTRACT</p> <p>BACKGROUND:</p> <p>Nowadays,&nbsp;transvenous&nbsp;lead&nbsp;extraction&nbsp;(TLE) is considered an essential technique in&nbsp;lead&nbsp;management strategy. Since 2011, a multidisciplinary&nbsp;approach&nbsp;was undertaken in our centre involving electrophysiologists,&nbsp;cardiac&nbsp;surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and&nbsp;mortality. The present paper reports procedural outcomes and complications of our&nbsp;lead&nbsp;extraction&nbsp;experience.</p> <p>METHODS:</p> <p>We retrospectively collected and analysed data from all consecutive patients undergoing&nbsp;cardiac&nbsp;implantable electronic device leads TLE at the IRCCS Centro Cardiologico Monzino between January 2011 and November 2017.</p> <p>RESULTS:</p> <p>One-hundred fifty patients (111 males, 68 &plusmn; 13 years) underwent&nbsp;extraction&nbsp;procedures. The most common&nbsp;extraction&nbsp;indication were infections (86.7%) and TLE was carried out by laser-based&nbsp;approach&nbsp;in 88 (58.6%) patients, by mechanical dilating sheaths in 58 (38.7%) patients and by a combined&nbsp;approach&nbsp;(TLE + open surgical intervention) in 4 (2.7%) patients. Procedural success was obtained in 146 (97.3%) cases with only 3 (2.0%) major complications with 2 cases of structural injury with tamponade requiring emergent median sternotomy. Open surgery&nbsp;extraction&nbsp;was required in 4 patients, after an attempt to TLE, due to leads strict adhesion to&nbsp;cardiac&nbsp;or vascular structures, whereas in 5 (3.3%) cases, the treatment of choice was a combined&nbsp;approach&nbsp;consisting in&nbsp;transvenous&nbsp;leads&nbsp;extraction&nbsp;followed by planned surgery.</p> <p>CONCLUSIONS:</p> <p>TLE is a complex procedure that sometimes leads to fatal complications. In our&nbsp;single&nbsp;center&nbsp;experience, a multidisciplinary&nbsp;approach&nbsp;involving&nbsp;electrophysiologist,&nbsp;cardiac&nbsp;surgeon, anaesthesiologist in an operating&nbsp;room&nbsp;allows a safer&nbsp;approach&nbsp;and major complications treatment.</p>