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Surgical Management of Major Intrathoracic Hemorrhage Resulting from High‐Risk Transvenous Pacemaker/Defibrillator Lead Extraction
Author(s) -
CanigliaMiller Justine M.,
Bussey Walter D.,
Kamtz Natalie M.,
Tsai Shane F.,
Erickson Christopher C.,
Anderson Daniel R.,
Moulton Michael J.
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12500
Subject(s) - medicine , perioperative , surgery , lead (geology) , superior vena cava , geology , geomorphology
A BSTRACT A method, based on well‐established trauma principles, is described for surgical management of serious intrathoracic bleeding complications that can occur during the extraction of pacemaker or defibrillator leads. Using this method, four patients who experienced rapid hemodynamic deterioration due to traumatic injury of the superior vena cava and its tributaries during defibrillator lead extraction underwent successful surgical repair. Perioperative preparation for high‐risk lead extractions, management of major bleeding complications, and surgical repair techniques are discussed. Major bleeding complications can be managed effectively with this strategy leading to excellent overall success rates for extractions without mortality. doi: 10.1111/jocs.12500 (J Card Surg 2015;30:149–153)