E Piazzi studies the process of removing old heart leads, which are devices implanted in patients to help manage heart rhythms. These leads can remain in the body for over a decade, and their removal is often necessary for patients' health. Piazzi utilizes advanced tools to ensure that this process is not only safe but also highly effective, especially for older patients who may be at a higher risk during surgery.
Key findings
In a study involving 441 leads from 189 patients, 94.8% of the leads were successfully removed.
The failure rate for extraction procedures was only 1.8%, indicating a high level of success.
Complications during the procedure occurred in just 2% of cases, demonstrating the safety of lead extraction for older patients.
Frequently asked questions
Does Dr. Piazzi study heart lead removal?
Yes, Dr. Piazzi specializes in the extraction of old heart leads.
What are the success rates for removing old heart leads?
The success rate for lead removal in Dr. Piazzi's study reached 94.8%.
Is Dr. Piazzi's work relevant for older patients?
Yes, their research specifically addresses the safety and effectiveness of lead extraction in older patients.
Publications in plain English
Atrial fibrillation laser balloon ablation: Multicenter international study.
2025
Heart rhythm O2
Martignani C, Rovaris G, Tilz RR, Schiavone M, Ciconte G +18 more
Plain English This study looked at a new laser balloon treatment for a heart condition called atrial fibrillation (AF). Researchers found that 73.8% of patients who used this treatment had no AF recurrence after one year, and this number increased to 77.7% for doctors who were more experienced with the technique. This is important because it shows that the laser balloon treatment is both safe and effective in helping patients stay free from AF long-term.
Who this helps: Patients with atrial fibrillation.
Anatomical-guided third-generation laser balloon ablation for the treatment of paroxysmal atrial fibrillation assessed by continuous rhythm monitoring: results from a multicentre prospective study.
2024
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
Ciconte G, Schiavone M, Rovaris G, Salerno R, Giaccardi M +16 more
Plain English This study looked at a new treatment method called third-generation laser balloon ablation for patients with a type of irregular heartbeat known as paroxysmal atrial fibrillation. Out of 257 patients treated, 84.8% were free from heart rhythm problems one year later, and this number dropped to 76% after three years. These findings show that this treatment method is both safe and effective over nearly three years, helping patients maintain a normal heart rhythm.
Who this helps: This helps patients with paroxysmal atrial fibrillation seeking effective treatment options.
Atrial fibrillation recurrences during the blanking period after catheter ablation with the laser balloon technique.
2023
Journal of cardiovascular electrophysiology
Schiavone M, Gasperetti A, Martignani C, Montemerlo E, Ciconte G +10 more
Plain English This study looked at patients with atrial fibrillation (AF) who underwent a specific treatment called catheter ablation using a laser balloon. Researchers found that 15.6% of patients had early heart rhythm problems during a recovery phase called the blanking period, and those who had such problems were much more likely to experience ongoing issues later on. Specifically, men and those with ongoing AF were at higher risk, highlighting the importance of monitoring early complications to improve long-term patient outcomes.
Who this helps: This research helps patients with atrial fibrillation and their doctors by providing insights into early warning signs of recurring heart issues.
Outcomes of transvenous lead extraction of very old leads using bidirectional rotational mechanical sheaths: Results of a multicentre study.
2023
Journal of cardiovascular electrophysiology
Migliore F, Pittorru R, Dall'Aglio PB, De Lazzari M, Rovaris G +12 more
Plain English This study examined the success and safety of removing old heart leads using special tools in patients whose leads had been in place for more than 10 years. Out of 441 leads from 189 patients, 94.8% were completely removed successfully, with only 1.8% failing to be extracted and a low complication rate of 2%. These results are important because they show that lead extraction can be done safely and effectively in older patients who need it, which can improve their health and reduce complications.
Who this helps: This benefits patients with old heart leads and their doctors.
Long-term comparisons of atrial fibrillation ablation outcomes with a cryoballoon or laser-balloon: A propensity-matched analysis based on continuous rhythm monitoring.
2022
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
Schiavone M, Gasperetti A, Montemerlo E, Pozzi M, Sabato F +7 more
Plain English This study compared two techniques for treating atrial fibrillation (AF) through a procedure called catheter ablation: cryoballoon (CB) and laser-balloon (LB) methods. Researchers found that after one year, about 30% of patients in both groups experienced a return of arrhythmia, showing similar effectiveness, with a very low average recurrence rate for both techniques. This matters because it informs doctors that both options are equally effective for AF treatment, helping them choose the right method for their patients.
Who this helps: This helps patients with atrial fibrillation and their doctors in deciding on treatment options.
Cryoballoon ablation for paroxysmal atrial fibrillation: mid-term outcome evaluated by ECG monitoring with an implantable loop recorder.
2021
Journal of cardiovascular electrophysiology
Maj R, De Ceglia S, Piazzi E, Pozzi M, Montemerlo E +4 more
Plain English This study looked at how effective a procedure called cryoballoon ablation (CB-A) is for patients with a type of irregular heartbeat known as paroxysmal atrial fibrillation (PAF). Researchers followed 102 patients for 2 years after the procedure and found that 65.7% were free from symptoms after one year, and 59.3% remained symptom-free by the second year. It's important to carefully assess heart records from patients to avoid mistakes in diagnosing their condition, as many readings can be false alarms.
Who this helps: Patients with paroxysmal atrial fibrillation who undergo cryoballoon ablation.
Second-generation laser balloon ablation for the treatment of atrial fibrillation assessed by continuous rhythm monitoring: the LIGHT-AF study.
2021
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
Rovaris G, Ciconte G, Schiavone M, Mitacchione G, Gasperetti A +12 more
Plain English This study looked at a new type of balloon procedure using laser technology to treat atrial fibrillation (AF), a common heart rhythm problem. Researchers found that after one year, 66.9% of patients had not experienced a return of AF, with even higher rates of 81% and 86.8% when looking at longer time thresholds. No major complications occurred during the procedure, indicating it is both safe and effective for patients.
Who this helps: Patients with atrial fibrillation seeking reliable treatment options.
First-in-man fully leadless transvenous CRT-P with a transseptal implant of WISE-CRTsystem and MicraPM.
2019
Pacing and clinical electrophysiology : PACE
Montemerlo E, Pozzi M, De Ceglia S, Santini F, Piazzi E +1 more
Plain English This study focused on a groundbreaking cardiac procedure where doctors used a new leadless pacing system to treat a patient who relies on a pacemaker and has other heart conditions. They successfully implanted a Micra pacemaker and a new system called WISE-CRT using a less invasive method, resulting in positive immediate outcomes. This matters because it offers a safer and more effective treatment option for patients with complex heart issues and a history of infections.
Who this helps: Patients with heart conditions and a history of pacemaker-related complications.
Multicenter experience with the Evolution RL mechanical sheath for lead extraction using a stepwise approach: Safety, effectiveness, and outcome.
2019
Pacing and clinical electrophysiology : PACE
Migliore F, Testolina M, Sagone A, Carretta D, Agricola T +14 more
Plain English This study focused on the use of the Evolution RL mechanical sheath for safely and effectively removing heart device leads in patients, with a total of 393 leads from 198 patients analyzed. The researchers found that the procedure had a very high success rate, with 97% achieving complete lead removal and only a minor complication rate of 5%. It's important because it shows that this method is reliable in treating patients who need lead extraction, particularly those with infections, helping to reduce risks associated with the procedure.
Who this helps: This helps patients who need cardiac lead extractions, especially those with infections or other complications.
A comparison of 8-mm and open-irrigated gold-tip catheters for typical atrial flutter ablation: Data from a prospective multicenter registry.
2018
Journal of arrhythmia
De Ruvo E, Sagone A, Rovaris G, Marchese P, Santamaria M +12 more
Plain English This study looked at two types of catheters used for treating a common heart condition known as atrial flutter. It found that while both the 8-mm gold-tip catheter and the open-irrigated gold-tip catheter had similar success rates in treating patients, the 8-mm catheter required less fluoroscopy time (an average of 8 minutes compared to 15 minutes with the other catheter). This is important because reducing fluoroscopy time can lower patients' exposure to radiation during the procedure.
Who this helps: Patients undergoing atrial flutter ablation.
Clinical outcomes of AF patients treated with the first and second-generation of circular mapping and ablation catheter: insights from a real world multicenter experience.
2017
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
Rovaris G, De Filippo P, Laurenzi F, Zanotto G, Bottoni N +6 more
Plain English This study compared two types of catheters used to treat patients with recurrent atrial fibrillation (AF). Researchers found that the newer PVAC-GOLD catheter had a shorter procedure time (about 118 minutes compared to 147 minutes for the older PVAC) and less fluoroscopic time (22.8 minutes vs. 31.6 minutes), making it more efficient, while the safety and effectiveness of both catheters were similar—around 64% of patients with the PVAC and 68% with the PVAC-GOLD did not experience a recurrence of AF after one year. This matters because it highlights how advancements in medical technology can lead to quicker procedures with similar safety outcomes.
Who this helps: This helps patients undergoing AF treatment.