1. A Case of Arterial and Venous Tear during Single Lead ...

    Our case demonstrated that when performing a transvenous lead extraction of an active fixation CS lead, a degloving injury can cause arterial rupture and venous rupture. A multidisciplinary team-based approach can ensure patient safety when faced with complications such …

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  2. Lead Extraction – Future Treatment for an Old Problem ...

    The strict collaboration between electrophysiologist and cardiac surgeon, and the setting up of a multidisciplinary team, are crucial points at each step of a planned TLE procedure. Keywords. Transvenous lead extraction, cardiac implantable devices, hybrid lead extraction . Disclosure

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  3. Transvenous pacemaker lead extraction by femoral approach ...

    Request PDF on ResearchGate | On Nov 25, 2014, Giuseppe Mario Calvagna and others published Transvenous pacemaker lead extraction by femoral approach

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  4. STANDARDS FOR LEAD EXTRACTION A consensus document …

    discuss the risks and benefits of extraction plus the approach (transvenous versus surgical). ... discussed in a congenital / ACHD multidisciplinary meeting and a surgeon ... Wilkoff BL, Love CJ, Byrd CL, et al. Transvenous lead extraction: Heart Rhythm Society …

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  5. P-25 Single Centre preliminary results of laser lead ...

    sheaths in the two cases with previous Mustard. No complications occurred during/after extraction. Conclusions The use of pre- and intra-procedural imaging and a multidisciplinary approach may ensure successful and safe outcome of laser lead extraction even in young patients with relatively old leads and/or corrected CHD.

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  6. Minimally Invasive Techniques to Avoid Sternotomy in ...

    In a procedure called lead extraction, device leads implanted for more than one year are removed with specialized equipment, often through transvenous use of a laser-powered sheath. Lead extraction has been proven to be a safe and effective procedure that is performed almost exclusively through a percutaneous approach.

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  7. Case Report A Case of Arterial and Venous Tear during ...

    A Case of Arterial and Venous Tear during Single Lead Extraction ... using a multidisciplinary approach suggests that there is a learning curve to lead extraction procedure as well as the ... V. Pretorius, Multidisciplinary approach to transvenous lead extraction: a single center s experience, Journal of Cardiotho- ...

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  8. REFERENCES - UpToDate

    Deharo JC, Bongiorni MG, Rozkovec A, et al. Pathways for training and accreditation for transvenous lead extraction: a European Heart Rhythm Association position paper. Europace 2012; 14:124. Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a …

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  9. Case report: Pacemaker lead perforation of a papillary ...

    requiring a multidisciplinary approach. Although an in-crease in tricuspid regurgitation is not common after lead extraction, the use of powered sheath-assisted extraction, which would have been necessary in this case, was associ-ated with worsening of valve function [5]. We strongly believe that lead extraction alone would not have pro-

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  10. Transvenous Lead Extraction: A Step-by-Step Approach

    Request PDF on ResearchGate | On Nov 11, 2014, Timothy M Maus and others published Multidisciplinary Approach to Transvenous Lead Extraction: A Single Center’s Experience

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  11. Transvenous lead extraction in patients with cardiac ...

    Transvenous lead extraction in CRT patients was not associated with increased 30-day mortality when compared with non-CRT patients. Age, renal impairment and sepsis were independent predictors of 30-day mortality. Sepsis was the main cause of 30-day mortality.

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  12. Hybrid Lead Extraction Technique | JACC: Case Reports

    This report presents a new hybrid lead extraction technique combined with transatrial laser lead extraction and surgical removal of calcified lesions in a 50-year-old man with superior vena cava syndrome and bilateral subclavian vein occlusion caused by an abandoned lead, which had been infected for 11 years. ( Level of Difficulty: Intermediate.

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  13. Case report: Pacemaker lead perforation of a papillary ...

    Mar 25, 2015· Clinical decision-making was guided by a multidisciplinary approach. Options considered were a conservative approach due to the increased risk of postoperative right heart failure, lead removal by percutaneous lead extraction or open surgical lead …

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  14. Surgical and Hybrid Lead Extraction - Cardiac ...

    Surgical and hybrid lead extraction has developed considerably over the past several decades. Although transvenous lead extraction is the standard approach to remove infected or malfunctioning cardiac implantable electronic device leads, surgical approaches may be necessary in complex cases not amenable to transvenous lead extraction or in cases that involve concomitant pathologies, such as ...

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  15. Trends in Use and Adverse Outcomes Associated with ...

    Transvenous lead removal has made tremendous progress with respect to innovation, efficacy, and safety. However, limited data exist regarding trends in the use and adverse outcomes outside the centers of considerable experience for transvenous lead removal.

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  16. Dr. Jesse Shurter, Anesthesiologist in San Diego, CA | US ...

    Dr. Jesse Shurter is an anesthesiologist in San Diego, California and is affiliated with Alta Bates Summit Medical Center-Oakland. He received his medical degree from University of California San ...

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  17. Lead Extraction – Future Treatment for an Old Problem

    surgeon, and the setting up of a multidisciplinary team, are crucial points at each step of a planned TLE procedure. Keywords Transvenous lead extraction, cardiac implantable devices, hybrid lead extraction Disclosure: Antonio Curnis, Francesca Vassanelli and Luca Bontempi have nothing to declare in …

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  18. The Role of Device and Lead Extraction (Transcript)

    The Role of Device and Lead Extraction. Authors: Bruce L. Wilkoff, MD ... activity is to provide information that will support prudent antibiotic administration as part of a multidisciplinary approach to management of patients with these serious infections. Clinicians, ... The indications for transvenous lead extraction apply, as in all lead ...

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  19. Intravascular extraction of chronically implanted ...

    The procedure is proposed for the extraction of a permanent transvenous pacing lead implanted for more than 3 months where extraction by simple traction is difficult or hazardous due to entrapment of the lead by fibrous attachments.

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  20. ELECTRa—from myth to aletheia: risk factors for ...

    This editorial refers to ‘Major cardiac and vascular complications after transvenous lead extraction: acute outcome and predictive factors from the ESC-EHRA ELECTRa (European Lead Extraction ConTRolled) registry’, by G. Zucchelli et al., on pages 771--780.. Transvenous lead extraction (TLE) is a valuable tool in the management of patients with cardiac implantable electronic devices.

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  21. Case report: Pacemaker lead perforation of ... - SpringerLink

    Clinical decision-making was guided by a multidisciplinary approach. Options considered were a conservative approach due to the increased risk of postoperative right heart failure, lead removal by percutaneous lead extraction or open surgical lead removal including valve repair or replacement.

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  22. Cardiac surgeon and electrophysiologist shoulder-to ...

    Mar 15, 2019· Background. Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

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  23. The Role of Device and Lead Extraction (Transcript)

    Sep 14, 2019· The Role of Device and Lead Extraction. Authors: Bruce L. Wilkoff, MD ... activity is to provide information that will support prudent antibiotic administration as part of a multidisciplinary approach to management of patients with these serious infections. Clinicians, ... including transvenous lead extraction and device reimplantation ...

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  24. Multidisciplinary Approach to Transvenous Lead Extraction ...

    Overall, the above-described combination and coordination of electrophysiologist, cardiac surgeon, cardiac anesthesia, and perfusionist have constituted the multidisciplinary approach to transvenous lead extraction at the authors’ institution and the data presented. Results

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  25. Ulrika Birgersdotter-Green | UCSD Profiles

    Maus TM, Shurter J, Nguyen L, Birgersdotter-Green U, Pretorius V. Multidisciplinary approach to transvenous lead extraction: a single center's experience. J Cardiothorac Vasc Anesth. 2015 Apr; 29(2):265-70. PMID: 25649700.

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  26. Hybrid minimally invasive technique with the bidirectional ...

    Transvenous lead extraction (TLE) is a challenging procedure and is associated with potential life‐threatening complications. 1 Therefore, safety is an essential clinical endpoint when physicians decide to perform TLE, especially in “high‐risk” patients. There is no an universal agreement on the definition of “high‐risk” patient.

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  27. Case report: Pacemaker lead perforation of a papillary ...

    Clinical decision-making was guided by a multidisciplinary approach. Options considered were a conservative approach due to the increased risk of postoperative right heart failure, lead removal by percutaneous lead extraction or open surgical lead removal including valve repair or replacement.

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  28. Cardiac Electronic Device Infections - AER

    Apr 10, 2016· Cardiac implantable electronic device (CIED) infection is an increasing problem. Reasons for this are uncertain, but likely relate to an increasing proportion of implantable cardioverter defibrillator (ICD) and cardiac resynchronisation therapy (CRT) devices implanted, as well as implantations in ’higher risk‘ candidates, i.e. patients with heart failure, diabetes and renal failure.

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  29. Device-Related Endocarditis and Infected Leads Extraction ...

    Device-Related Endocarditis and Infected Leads Extraction: The Dark Side of The Moon ... Buongiorni et al, in a retrospective analysis of 1330 leads extraction, concluded that transvenous lead extraction is an effective and safe procedure. ... We believe that multidisciplinary approach is the key to manage device-related endocarditis and good ...

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  30. Interdisciplinary stepwise approach for an effective and ...

    Aims: Mechanical force applied during leads removal is the main cause for major complications and cardiovascular injuries. Aim of this study was to retrospectively analyse safety and effectiveness of a stepwise interdisciplinary approach for mechanical transvenous lead extraction.

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  31. Novel direct approach for placement of permanent ...

    Multiple previous sternotomies and surgical history prompted multidisciplinary recommendation for transvenous pacing. A transvenous dual-chamber pacing system from a left prepectoral approach with an atrial lead in the lateral tunnel and a transpulmonary–transatrial lead in the systemic ventricle (across the AV valve) was proposed.

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  32. Pearls of Wisdom for High-Risk Laser Lead Extractions: A ...

    Due to new indications and improved technology, the incidence of laser lead extraction (LLE) has significantly increased over the past years. While LLE has been well studied and proven to be safe and effective, only few studies are geared toward the anesthesiologist’s role during high-risk LLEs ...

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  33. Anesthesia Considerations for Lead Extraction - Cardiac ...

    The role of the anesthesiologist in lead extraction procedures is multifaceted and highlights the collaborative, multidisciplinary teamwork needed to ensure patient safety and procedural success in these complex cases. Thorough preoperative evaluation and identification of high-risk characteristics enable the anesthesiologist to tailor a comprehensive intraoperative and postoperative care plan ...

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