October 2018 Br J Cardiol 2018;25(suppl 3):S35–S39 doi:10.5837/bjc.2018.s18
Osman Najam, Hitesh C Patel, Manav Sohal, Mark M Gallagher
Abstract
Definitions
Lead extraction is defined as a procedure in which a cardiovascular implantable electronic device (CIED) lead is removed with the assistance of equipment not routinely used during implantation, or after it has been in situ for more than one year. Lead explant is the removal of a lead that has been implanted for less than one year using only standard implantation stylets.
Indications
The indications for CIED lead extraction from contemporary international guidelines are summarised in table 1.
Table 1. Adapted indications for lead extractions and their class of recommendation1
Epidemiology
The number of lead extraction procedures be
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May 2008 Br J Cardiol 2008;15:119
David Monkman
Abstract
Since April 2006 a total of 655 points are available in the clinical domain; 55% are directly for cardiovascular disease (including atrial fibrillation), hypertension and diabetes. The anticipated inclusion of peripheral arterial disease (PAD) in the recently revised QOF failed to materialise; this is of particular concern given the wealth of evidence supporting its inclusion.
General practitioners (GPs) on average have achieved high QOF scores in the clinical domains related to cardiovascular disease and it therefore may appear surprising that the direct provision of diagnostic and monitoring equipment within general practice is very variabl
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