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Device Extraction in Adults with Congenital Heart Disease
Author(s) -
CESARIO DAVID,
KEDIA ROHIT,
DESAI NIRAV,
ABOULHOSN JAMIL,
USLAN DANIEL,
BOYLE NOEL,
FUJIMURA OSAMU,
SHEHATA MICHAEL,
BUCH ERIC,
SHIVKUMAR KALYANAM
Publication year - 2009
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2008.02242.x
Subject(s) - medicine , great arteries , heart disease , surgery , population , transposition (logic) , cardiology , linguistics , environmental health , philosophy
Background: Device extraction is a critical component in the treatment of patients with device‐related infections. Due to complex anatomic considerations, device extraction in adults with congenital heart disease presents unique challenges to the electrophysiologist.Methods: Here, we present a series of device‐extraction cases performed in patients with transposition of the great arteries status post either Mustard or Senning surgical procedures that subsequently had permanent pacemakers placed and ultimately developed device‐related infections.Results: All of these patients eventually underwent successful laser extractions of their infected devices resulting in complete removal of all hardware and resolution of their infections.Conclusions: These cases illustrate that endovascular device extraction has been safely and effectively performed in adult patients with congenital heart disease, though further studies are needed to determine the procedural risks and success rates of this procedure in this patient population.