Journal of cardiac surgery · 2013
Vacuum assisted vegetation extraction for the management of large lead vegetations.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Patel Nishant, Azemi Talhat, Zaeem Faisal, Underhill David, Gallagher Robert, Hagberg Robert, Sadiq Immad
Аннотация
BACKGROUND: Complete device and lead removal is recommended for management of infected implantable cardiac device. Management of large lead vegetation (2 cm) is still in debate.
METHODS: We report a series of patients involving percutaneous extraction of large vegetations (>2 cm) from ICD/pacing leads using the AngioVac Cannula in patients with infective endocarditis. This approach was used to debulk the ICD/pacing lead vegetations in order to minimize the risk of septic pulmonary embolism during lead explantation.
CONCLUSION: AngioVac Cannula can be used safely and effectively as an adjunctive method for patients with large lead vegetation.
METHODS: We report a series of patients involving percutaneous extraction of large vegetations (>2 cm) from ICD/pacing leads using the AngioVac Cannula in patients with infective endocarditis. This approach was used to debulk the ICD/pacing lead vegetations in order to minimize the risk of septic pulmonary embolism during lead explantation.
CONCLUSION: AngioVac Cannula can be used safely and effectively as an adjunctive method for patients with large lead vegetation.
Предметные рубрики MeSH
Aged, 80 and overBacteremiaCardiac CatheterizationCathetersCooperative BehaviorDefibrillators, ImplantableDevice RemovalEchocardiographyEchocardiography, TransesophagealElectrodes, ImplantedEndocarditis, BacterialEquipment DesignFemaleForeign BodiesHeart AtriaHeart VentriclesHumansInterdisciplinary CommunicationMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPacemaker, ArtificialPatientsProsthesis-Related InfectionsStaphylococcal InfectionsStaphylococcus aureusStreptococcal InfectionsStreptococcus agalactiaeSuction