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Can I read Recurrent Bacteremia Due To Rare Complication Of Lead Extraction: Insulation Sheath Retention on EtoBox?
Recurrent Bacteremia Due To Rare Complication Of Lead Extraction: Insulation Sheath Retention by Joseph Adewumi; Syed Rafay Ali Sabzwari; Lukasz Patrick Cerbin; Christopher Barrett; Lohit Garg; Amneet Sandhu; Alexis Z. Tumolo; Michael Rosenberg; John Jason West; Paul D. Varosy; Wendy S. Tzou; Max B. Mitchell; Muhammad Aftab; Johannes von Alvensleben; Ryan G. Aleong; Matthew Michael Zipse is a Medicine article available to read on EtoBox.
What is Recurrent Bacteremia Due To Rare Complication Of Lead Extraction: Insulation Sheath Retention about?
Background: Transvenous lead extraction is a complex procedure with associated complications. One complication is lead shearing during removal. These retained parts may be difficult to appreciate and may even be mistaken for casts or vegetation. Case: A 23-year-old male with Tetralogy of Fallot and complete heart block status post dual chamber endocardial pacemaker presented with RV lead fracture. Lead extraction was unsuccessful, so a redundant RV lead was placed. Six years later, he developed pacing-induced cardiomyopathy. He subsequently underwent complex extraction of all leads (including prior abandoned lead) and implant of a CRT-D. This was later complicated by MRSA bacteremia and a second extraction was planned. Decision-making: During the second extraction procedure, two large densities were identified by 3D ICE in the RA which were thought to be casts of previous pacing leads. Percutaneous removal with catheter-based aspiration systems were unsuccessful. The patient presented with three more episodes of MRSA bacteremia and was then referred for surgical removal of presumed fibrin casts. During surgery, a tubular foreign body with attached cast was found adherent to the SVC
Who reads Recurrent Bacteremia Due To Rare Complication Of Lead Extraction: Insulation Sheath Retention?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Joseph Adewumi; Syed Rafay Ali Sabzwari; Lukasz Patrick Cerbin; Christopher Barrett; Lohit Garg; Amneet Sandhu; Alexis Z. Tumolo; Michael Rosenberg; John Jason West; Paul D. Varosy; Wendy S. Tzou; Max B. Mitchell; Muhammad Aftab; Johannes von Alvensleben; Ryan G. Aleong; Matthew Michael Zipse
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)