Surgical management of major intrathoracic hemorrhage resulting from high-risk transvenous pacemaker/defibrillator lead extraction

Justine M. Caniglia-Miller; Walter D. Bussey; Natalie M. Kamtz; Shane F. Tsai; Christopher C. Erickson; Daniel R. Anderson; Michael J. Moulton

doi:10.1111/jocs.12500

Surgical management of major intrathoracic hemorrhage resulting from high-risk transvenous pacemaker/defibrillator lead extraction

Justine M. Caniglia-Miller, Walter D. Bussey, Natalie M. Kamtz, Shane F. Tsai, Christopher C. Erickson, Daniel R. Anderson, Michael J. Moulton

Research output: Contribution to journal › Review article › peer-review

17 Scopus citations

Abstract

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

Original language	English (US)
Pages (from-to)	149-153
Number of pages	5
Journal	Journal of cardiac surgery
Volume	30
Issue number	2
DOIs	https://doi.org/10.1111/jocs.12500
State	Published - Feb 1 2015

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1111/jocs.12500

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abstract = "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",

author = "Caniglia-Miller, {Justine M.} and Bussey, {Walter D.} and Kamtz, {Natalie M.} and Tsai, {Shane F.} and Erickson, {Christopher C.} and Anderson, {Daniel R.} and Moulton, {Michael J.}",

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AU - Caniglia-Miller, Justine M.

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AU - Kamtz, Natalie M.

AU - Tsai, Shane F.

AU - Erickson, Christopher C.

AU - Anderson, Daniel R.

AU - Moulton, Michael J.

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AB - 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

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Surgical management of major intrathoracic hemorrhage resulting from high-risk transvenous pacemaker/defibrillator lead extraction

Abstract

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