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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 4/2017

01-12-2017 | Case report

Innominate artery injury during routine laser assisted lead extraction

Authors: Amer Harky, Mohamad Bashir, Nick Cheshire, Ulrich Rosendahl

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 4/2017

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Abstract

Laser assisted lead extraction is a relatively safe procedure; however, it is an invasive procedure which could involve significant increase in morbidity and mortality associated with risk of concomitant arterial and venous injuries. We report a 69-year-old patient sustained an iatrogenic perforation to subclavian vein and transection of the innominate artery during laser lead extraction, necessitated commencing cardiopulmonary bypass and repair of the injuries.
Literature
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Wilkoff BL, Love CJ, Byrd CL, et al. Transvenous lead extraction: heart rhythm society expert consensus on facilities, training, indications, and patient management. This document was endorsed by the American Heart Association (AHA). Heart Rhythm. 2009;6:1085–104.
2.
Kennergren C, Bucknall CA, Butter C, et al. Laser-assisted lead extraction: the European experience. Europace. 2007;9:651–6.CrossRefPubMed
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Wazni O, Epstein LM, Carrillo RG, et al. Lead extraction in the contemporary setting: the LExICon study: an observational retrospective study of consecutive laser lead extractions. J Am Coll Cardiol. 2010;55:579–86.
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Maisel WH, Kramer DB. Extracting guidance from extraction data. J Am Coll Cardiol. 2010;56:651–2.CrossRefPubMed
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Wang W, Wang X, Modry D, Wang S. Cardiopulmonary bypass standby avoids fatality due to vascular laceration in laser-assisted lead extraction. J Card Surg. 2014;29:274–8.CrossRefPubMed
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Crossley GH, Poole JE, Rozner MA, et al. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) expert consensus statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management this document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Heart Rhythm. 2011;8:1114–54.
Metadata
Title
Innominate artery injury during routine laser assisted lead extraction
Authors
Amer Harky
Mohamad Bashir
Nick Cheshire
Ulrich Rosendahl
Publication date
01-12-2017
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 4/2017
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-017-0523-0

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