PMID- 34673505
OWN - NLM
STAT- Publisher
LR  - 20240220
IS  - 1678-9741 (Electronic)
IS  - 0102-7638 (Print)
IS  - 0102-7638 (Linking)
VI  - 37
IP  - 3
DP  - 2022 May 23
TI  - Laser Lead Extraction During Venoarterial ECMO support.
PG  - 401-404
LID - 10.21470/1678-9741-2020-0391 [doi]
AB  - 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.
FAU - Yildirim, Yalin
AU  - Yildirim Y
AD  - Department of Cardiovascular Surgery, University Heart and Vascular Center 
      Hamburg, Hamburg, Germany.
FAU - Petersen, Johannes
AU  - Petersen J
AD  - Department of Cardiovascular Surgery, University Heart and Vascular Center 
      Hamburg, Hamburg, Germany.
FAU - Tonnis, Tobias
AU  - Tonnis T
AD  - Department of Cardiology/Electrophysiology, University Heart and Vascular Center 
      Hamburg, Hamburg, Germany.
FAU - Detter, Christian
AU  - Detter C
AD  - Department of Cardiovascular Surgery, University Heart and Vascular Center 
      Hamburg, Hamburg, Germany.
FAU - Reichenspurner, Hermann
AU  - Reichenspurner H
AD  - Department of Cardiovascular Surgery, University Heart and Vascular Center 
      Hamburg, Hamburg, Germany.
FAU - Pecha, Simon
AU  - Pecha S
AUID- ORCID: 0000-0002-8747-166X
AD  - Department of Cardiovascular Surgery, University Heart and Vascular Center 
      Hamburg, Hamburg, Germany.
LA  - eng
PT  - Journal Article
DEP - 20220523
PL  - Brazil
TA  - Braz J Cardiovasc Surg
JT  - Brazilian journal of cardiovascular surgery
JID - 101677045
SB  - IM
PMC - PMC9162412
OTO - NOTNLM
OT  - Cardiopulmonary Bypass
OT  - Endocarditis
OT  - Extracorporeal Membrane Oxygenation
OT  - Heart Arrest
OT  - Left
OT  - Sepsis
OT  - Stroke Volume
OT  - Ventricular Function
COIS- Conflict of interest: Simon Pecha has received speaker honoraria from 
      Spectranetics (Philips Medical).
EDAT- 2021/10/22 06:00
MHDA- 2021/10/22 06:00
PMCR- 2022/05/01
CRDT- 2021/10/21 21:07
PHST- 2021/10/22 06:00 [pubmed]
PHST- 2021/10/22 06:00 [medline]
PHST- 2021/10/21 21:07 [entrez]
PHST- 2022/05/01 00:00 [pmc-release]
AID - 10.21470/1678-9741-2020-0391 [doi]
PST - aheadofprint
SO  - Braz J Cardiovasc Surg. 2022 May 23;37(3):401-404. doi: 
      10.21470/1678-9741-2020-0391.