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A Case of Arterial and Venous Tear during Single Lead Extraction
Joint Authors
Tariq, Rayhan
Wu, Daniel
Patel, Vishal
Green, Michael S.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Transcutaneous lead extraction can be associated with significant morbidity and mortality.
The risk of causing concomitant arterial and venous injury is rare.
We report a case of marginal artery rupture with coronary sinus rupture after a CS lead extraction.
A 71-year-old male was admitted for extraction of a 6-year-old implantable cardioverter-defibrillator lead due to fracture from insulation break.
During the lead extraction, blood pressure fell precipitously and echocardiographic findings were consistent with pericardial effusion.
After unsuccessful pericardiocentesis, open chest sternotomy and evacuation of hematoma was performed.
Subsequent surgical repair of several injuries was completed including the distal coronary sinus, a large degloving injury of posterior portion of the heart, and first obtuse marginal branch bleed.
This case demonstrates that when performing transcutaneous lead extraction (TLE) with laser sheath, a degloving injury can cause arterial rupture with concomitant coronary sinus injury.
A multidisciplinary team-based approach can ensure patient safety.
Learning Objective.
Implantable cardioverter-defibrillator leads will falter over time.
With the advancement of new technology for extraction more frequent and serious complications will occur.
Active fixation CS leads present unique challenges.
In the presence of hemodynamic changes during extraction the occurrence of both an arterial and venous injury must be considered.
American Psychological Association (APA)
Green, Michael S.& Wu, Daniel& Patel, Vishal& Tariq, Rayhan. 2016. A Case of Arterial and Venous Tear during Single Lead Extraction. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100323
Modern Language Association (MLA)
Green, Michael S.…[et al.]. A Case of Arterial and Venous Tear during Single Lead Extraction. Case Reports in Cardiology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100323
American Medical Association (AMA)
Green, Michael S.& Wu, Daniel& Patel, Vishal& Tariq, Rayhan. A Case of Arterial and Venous Tear during Single Lead Extraction. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100323
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100323