Tricuspid Insufficiency after Laser Lead Extraction.
Background The use of laser lead extraction (LLE) to remove pacemaker and implantable cardiac defibrillator leads has become more prevalent in the past decade. Though the procedure is associated with a low rate of complications, LLE still poses some risks to patients. Some reports have suggested an...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 36; no. 8; pp. 939 - 945 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104085097&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104085097 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: Aug2013 vid: 36 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104085097 89398082 10.1111/pace.12160 NLM23713555 104085097 ppf: 939 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Tricuspid Insufficiency after Laser Lead Extraction. aug: au: Rodriguez, Yasser Mesa, Julian Arguelles, Eric Carrillo, Roger G. affil: Department of Internal Medicine, University of Michigan sug: subj: Defibrillators, Implantable Utilization Ventricular Ejection Fraction Statistics and Numerical Data Tricuspid Valve Diseases Echocardiography, Transesophageal Pretest-Posttest Design Human Male Female Middle Age Aged Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background The use of laser lead extraction (LLE) to remove pacemaker and implantable cardiac defibrillator leads has become more prevalent in the past decade. Though the procedure is associated with a low rate of complications, LLE still poses some risks to patients. Some reports have suggested an increase in tricuspid insufficiency (TI) associated with LLE. We present a series of patients who underwent both LLE and complete evaluation for TI with echocardiographic techniques. Methods From August 2008 to January 2010, 173 prospective, consecutive patients underwent LLE in a single center. All patients had transesophageal echocardiograms (TEE) during the extraction. Fifty-three patients had tricuspid valve function evaluated a day before the procedure with a transthoracic echocardiogram (TTE), during the procedure with a TEE and 2 days postoperatively with a TTE. Results All 173 patients experienced no change in tricuspid valve function during the procedure with TEE. Of the 53 patients who underwent a complete TI evaluation, 38 were males (72%) and 15 females (38%), with a mean age of 69.45 ± 14.08. Mean ejection fraction was 35.82 ± 14.72. Three (6%) patients experienced TI after the procedure (two mild and one severe, all with tricuspid valve endocarditis); 16 (30%) patients were found to have TI before LLE that returned to normal valve function during or after the procedure. Thirty-four (64%) patients did not experience any significant change of the tricuspid valve performance after LLE. Conclusion LLE was not associated with increased TI. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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