We discuss a case of transvenous lead extraction (TLE) in a patient with a large vegetation. To prevent embolization, a Dormia basket was placed in the pulmonary artery trunk. After uncomplicated TLE, the basket was withdrawn, and vegetation material was retrieved from it. Our experience confirms that TLE is feasible even with large vegetations, and the pulmonary circulation may be protected with a simple intravascular device.
Intracardiac echocardiogram-guided use of a dormia basket to prevent major vegetation embolism during transvenous lead extraction / A. Dello Russo, C. Di Stasi, G. Pelargonio, M. Casella, S. Bartoletti, M.L. Narducci, E. Russo, E. Innocenti, D. Colombo, F. Bellocci, C. Tondo. - In: CANADIAN JOURNAL OF CARDIOLOGY. - ISSN 0828-282X. - 29:11(2013), pp. 1532.e11.1532.e11-1532.e11.1532.e13.
Intracardiac echocardiogram-guided use of a dormia basket to prevent major vegetation embolism during transvenous lead extraction
S. Bartoletti;E. Innocenti;D. Colombo;C. Tondo
2013
Abstract
We discuss a case of transvenous lead extraction (TLE) in a patient with a large vegetation. To prevent embolization, a Dormia basket was placed in the pulmonary artery trunk. After uncomplicated TLE, the basket was withdrawn, and vegetation material was retrieved from it. Our experience confirms that TLE is feasible even with large vegetations, and the pulmonary circulation may be protected with a simple intravascular device.
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