Vacuum Assisted Vegetation Extraction for the Management of Large Lead Vegetations

被引：56

作者：

Patel, Nishant ^{[1
]}

Azemi, Talhat ^{[1
]}

Zaeem, Faisal ^{[1
]}

Underhill, David ^{[1
]}

Gallagher, Robert ^{[1
]}

Hagberg, Robert ^{[1
]}

Sadiq, Immad ^{[1
]}

机构：

[1] Hartford Hosp, Henry Low Heart Ctr, Hartford, CT 06102 USA

来源：

JOURNAL OF CARDIAC SURGERY | 2013年 / 28卷 / 03期

关键词：

PACEMAKER ENDOCARDITIS; DEVICE INFECTIONS; THROMBUS;

D O I：

10.1111/jocs.12087

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Complete device and lead removal is recommended for management of infected implantable cardiac device. Management of large lead vegetation (2cm) is still in debate. Methods We report a series of patients involving percutaneous extraction of large vegetations (>2cm) 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. doi: 10.1111/jocs.12087 (J Card Surg 2013;28:321324)

引用

页码：321 / 324

页数：4