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 journalReview articlepeer-review

11 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 (J Card Surg 2015;30:149-153)

Original languageEnglish (US)
Pages (from-to)149-153
Number of pages5
JournalJournal of cardiac surgery
Volume30
Issue number2
DOIs
StatePublished - Feb 1 2015

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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