RETAINED CARDIAC LEAD REMOVAL WITH THE COOK …
RETAINED CARDIAC LEAD REMOVAL WITH THE COOK EVOLUTION SYSTEM: PRELIMINARY EXPERIENCE
A. Hurle, C. Vaquero, A. Garcia, A. Ibañez, J.L. Ibañez, J.G. Martinez
Hospital General Universitario de Alicante, Alicante, Spain
Introduction: The Cook Evolution is a revolving mechanical sheath which was designed as a system to remove in-dwelling endocardial leads.
Patients and Methods: Between July, 2009 and February, 2010, 16 patients (11 male, mean age 69 years) underwent endocardial lead removal with the above mentioned device in our unit. Overall, 23 leads were removed (7 atrial, 7 ventricular, 8 ICD and 1 VDD) which had been implanted for a mean of 92 months (range 25 to 240 months) through a right (n=3) or a left (n=13) subclavian venous access. The indications for removal were lead infection in 12 cases and lead malfunction in the remaining 4.
Results: There were no hospital deaths Complete and uneventful removal was achieved in 20 of 23 leads (87%). In 3 instances, (2 ICD, 1 atrial) removal was incomplete and one of this patients (ICD lead) developed a postoperative mediastinal hematoma which resolved spontaneously with conservative management. No other procedure related complications occurred.
Conclusions: This device appears to be a safe and effective tool to remove retained endocardial leads. However, this is only a preliminary report so further studies with larger numbers of patients involved will be necessary to prove its effectiveness.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- lab anatomic pathology user manual
- cumulative official who updates to icd 10 1996 2001
- retained cardiac lead removal with the cook
- the agency for healthcare research and quality ahrq
- psi 9 best practices university of arizona
- www
- appendix a icd 9 codes for complications
- documentation and coding for patient safety indicators
Related searches
- sentence with the word choose
- make a sentence with the word significant
- sentences with the word significance
- find words with the following letters
- words with the following letters
- what is homc with the heart
- words that with the letters
- words with the following letters scrabble
- words with the letters really
- homemade hair removal with baking soda
- choose the sentence with the correct punctuation
- ureteral stent removal with string