Simultaneous lead extraction and vacuum-assisted vegetation removal

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Simultaneous lead extraction and vacuum-assisted vegetation removal

The incidence of infection associated with cardiac implantable electronic devices (CIEDs) is rising at a rate faster than that of the number of implants. CIED infections typically require complete device and lead removal. The prevalence of vegetations is high in patients with infective indications who are referred for lead extraction. Because of the risk of hemodynamically significant pulmonary...

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Laser-assisted lead extraction: the European experience.

AIMS The aim of this study is to investigate the safety and effectiveness of Excimer laser-assisted lead extraction in Europe. The final European multi-centre study experience is presented. METHOD AND RESULTS The Excimer is a cool cutting laser (50 degrees C) with a wavelength of 308 nm. The energy is emitted from the tip of a flexible sheath and is absorbed by proteins and lipids, 64% of the...

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Percutaneous Vacuum-Assisted Thrombectomy Device Used for Removal of Large Vegetations on Infected Pacemaker and Defibrillator Leads as an Adjunct to Lead Extraction.

This case series reports our early experience with a minimally invasive percutaneous method of safely removing large vegetations during lead extraction in septic cardiac implantable electronic devices (CIED). Debate exists concerning the management of vegetations involving these devices. Lead extraction is mandated for infections, but vegetations may embolize, causing complications. Surgical de...

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Ancillary tools in pacemaker and defibrillator lead extraction using a novel lead removal system.

A previous report described our preliminary experience with a highly successful pacing lead removal system (VasoExtor). Extending this experience, we found it necessary to use additional tools to enhance the success of percutaneous lead extraction with this system. In the present series, we used the standard locking stylets (S and K), and recently, one newer type of stylet (Magic) over the last...

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Radiofrequency ablation–assisted extraction of a pacing lead fragment

Case Report A 71-year-old man with ischemic cardiomyopathy and prior coronary artery bypass grafting surgery with a dual-chamber implantable cardioverter-defibrillator (ICD) placed 4 years earlier for a history of ventricular tachycardia was referred for lead extraction because of recurrent fever, vegetations on his atrial lead, and Kocuria varians bacteremia. He had a Guidant 4470 right atrial...

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ژورنال

عنوان ژورنال: HeartRhythm Case Reports

سال: 2016

ISSN: 2214-0271

DOI: 10.1016/j.hrcr.2015.08.008