Source:http://linkedlifedata.com/resource/pubmed/id/16923010
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2006-8-22
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pubmed:abstractText |
Infective endocarditis involving transvenous pacing leads is an uncommon but potentially lethal complication of implantable cardioverter-defibrillator (ICD) implantation. Complete removal of the device and the leads is presently considered to be the optimal treatment in such patients and laser-assisted lead removal is an effective and safe nonthoracotomy approach. However, large vegetations (>10 mm) attached to the lead limit nonthoracotomy explantation because of the potential for hemodynamically embarrassing pulmonary embolization. Laser extraction of leads with vegetation area >300 mm2 has rarely been reported. In this case report, we describe a patient with an infected ICD lead with vegetation greater than 41 x 12.5 mm (512 mm2) in size that was explanted with laser-assistance. The resulting pulmonary embolus produced a 33 x 20 mm pulmonary infarction without hemodynamic or respiratory compromise.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0147-8389
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
910-3
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:16923010-Defibrillators, Implantable,
pubmed-meshheading:16923010-Device Removal,
pubmed-meshheading:16923010-Electrodes, Implanted,
pubmed-meshheading:16923010-Endocarditis,
pubmed-meshheading:16923010-Humans,
pubmed-meshheading:16923010-Laser Therapy,
pubmed-meshheading:16923010-Male,
pubmed-meshheading:16923010-Middle Aged,
pubmed-meshheading:16923010-Prosthesis Failure,
pubmed-meshheading:16923010-Prosthesis-Related Infections
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pubmed:year |
2006
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pubmed:articleTitle |
Successful laser-assisted removal of an infected ICD lead with a large vegetation.
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pubmed:affiliation |
Division of Cardiology, University Health Network, Toronto, Canada.
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pubmed:publicationType |
Journal Article,
Case Reports
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