Laser Lead Extraction During Venoarterial ECMO support

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Autor principal: Yalin Yildirim
Formato: Artículo científico
Lenguaje:en
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2022
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author Yalin Yildirim
author_facet Yalin Yildirim
contents Laser Lead Extraction During Venoarterial ECMO support Yalin Yildirim Johannes Petersen Tobias Tönnis Christian Detter Hermann Reichenspurner Simon Pecha Medicina Left Sepsis Heart Arrest Endocarditis Stroke Volume The treatment of valvular endocarditis in patients with cardiac implantable electrophysiological device (CIED) includes valvular surgery and lead extraction. This can be challenging in patients with severely reduced left ventricular ejection fraction (LVEF). Reduced LVEF in combination with sepsis and cardioplegic cardiac arrest can make weaning from cardiopulmonary bypass difficult. Some of these patients require venoarterial extracorporeal membrane oxygenation (VA-ECMO) for postcardiotomy syndrome. Lead extraction by manual traction is often not possible in cases with a long lead dwell time. Therefore, a lead extraction procedure with powered sheaths is required during the VA-ECMO support. We describe our technique for laser lead extraction during VA-ECMO support in a 64-year-old patient with triple valve endocarditis and lead vegetations. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398971282017 https://www.redalyc.org/journal/3989/398971282017/ https://www.redalyc.org/journal/3989/398971282017/html/ https://www.redalyc.org/journal/3989/398971282017/398971282017.epub https://www.redalyc.org/journal/3989/398971282017/movil 10.21470/1678-9741-2020-0391 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.37
format Artículo científico
id redalyc_398971282017
institution Redalyc
language en
publishDate 2022
publisher Sociedade Brasileira de Cirurgia Cardiovascular
spellingShingle Laser Lead Extraction During Venoarterial ECMO support
Yalin Yildirim
Medicina
Left
Sepsis
Heart Arrest
Endocarditis
Stroke Volume
Laser Lead Extraction During Venoarterial ECMO support Yalin Yildirim Johannes Petersen Tobias Tönnis Christian Detter Hermann Reichenspurner Simon Pecha Medicina Left Sepsis Heart Arrest Endocarditis Stroke Volume The treatment of valvular endocarditis in patients with cardiac implantable electrophysiological device (CIED) includes valvular surgery and lead extraction. This can be challenging in patients with severely reduced left ventricular ejection fraction (LVEF). Reduced LVEF in combination with sepsis and cardioplegic cardiac arrest can make weaning from cardiopulmonary bypass difficult. Some of these patients require venoarterial extracorporeal membrane oxygenation (VA-ECMO) for postcardiotomy syndrome. Lead extraction by manual traction is often not possible in cases with a long lead dwell time. Therefore, a lead extraction procedure with powered sheaths is required during the VA-ECMO support. We describe our technique for laser lead extraction during VA-ECMO support in a 64-year-old patient with triple valve endocarditis and lead vegetations. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398971282017 https://www.redalyc.org/journal/3989/398971282017/ https://www.redalyc.org/journal/3989/398971282017/html/ https://www.redalyc.org/journal/3989/398971282017/398971282017.epub https://www.redalyc.org/journal/3989/398971282017/movil 10.21470/1678-9741-2020-0391 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.37
title Laser Lead Extraction During Venoarterial ECMO support
topic Medicina
Left
Sepsis
Heart Arrest
Endocarditis
Stroke Volume
url https://www.redalyc.org/articulo.oa?id=398971282017
https://www.redalyc.org/journal/3989/398971282017/
https://www.redalyc.org/journal/3989/398971282017/html/
https://www.redalyc.org/journal/3989/398971282017/398971282017.epub
https://www.redalyc.org/journal/3989/398971282017/movil