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multidisciplinary approach to transvenous lead extraction

Multidisciplinary Approach to Transvenous Lead Extraction ...

While transvenous lead extraction (TLE) is the standard approach to remove infected or malfunctioning cardiac implantable electronic device (CIED)

Cardiac surgeon and electrophysiologist shoulder-to ...

Background: Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

Leading from Experience in Transvenous Lead Extraction ...

Aug 07, 2014 · Leading from Experience in Transvenous Lead Extraction As more patients require extraction of pacemaker and ICD leads, the risks from this complex procedure mount. Multidisciplinary expertise is key to avoiding infection and managing catastrophic complications.

Interdisciplinary stepwise approach for an effective and ...

Aim of this study was to retrospectively analyse safety and effectiveness of a stepwise interdisciplinary approach for mechanical transvenous lead extraction. Methods: From February 2011 to December 2017, 71 patients (pts) underwent electronic leads extraction for Cardiac Implantable Electronic Devices (CIED) complications. Mean age was 70±11 ...

Cardiac surgeon and electrophysiologist shoulder-to ...

Mar 15, 2019 · Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

Pearls of Wisdom for High-Risk Laser Lead Extractions: A ...

Oct 05, 2017 · 13. Maus TM, Shurter J, Nguyen L, Birgersdotter-Green U, Pretorius V. Multidisciplinary approach to transvenous lead extraction: a single center’s experience. J Cardiothorac Vasc Anesth. 2015;29:265–270.

Transvenous Extraction of Pacemaker Leads in Infective ...

Timothy M. Maus, Jesse Shurter, Liem Nguyen, Ulrika Birgersdotter-Green and Victor Pretorius, Multidisciplinary Approach to Transvenous Lead Extraction: A Single Center’s Experience, Journal of Cardiothoracic and Vascular Anesthesia, 29, 2, (265), (2015).

UpToDate

Deharo JC, Bongiorni MG, Rozkovec A, et al. Pathways for training and accreditation for transvenous lead extraction: a European Heart Rhythm Association position paper. Europace 2012; 14:124. Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a single center's experience.

STANDARDS FOR LEAD EXTRACTION A consensus document

BACKGROUND TO LEAD EXTRACTION The majority of lead extraction procedures in the Western world are performed transvenously by cardiologists and/or cardiac surgeons. The European task force1 has attempted to calculate the total transvenous extraction need based on 1.5 times the reported prevalence of infection in

Transvenous Extraction of Pacemaker Leads in Infective ...

Timothy M. Maus, Jesse Shurter, Liem Nguyen, Ulrika Birgersdotter-Green and Victor Pretorius, Multidisciplinary Approach to Transvenous Lead Extraction: A Single Center’s Experience, Journal of Cardiothoracic and Vascular Anesthesia, 29, 2, (265), (2015).

ILEEM-survey on the Heart Team approach and team training ...

For transvenous lead extraction (TLE) proce-dures the multidisciplinary team approach is noted in section 11.1 (“Personnel”) of the current 2017 Heart Rhythm Society expert consensus state-ment. As members of this multidisciplinary team, cardiologists, electrophysiologists, cardiothoracic

Efficient approach to superior vena cava baffle stenosis ...

Its ability to fully alleviate baffle stenosis even when full lead extraction is not feasible or is associated with significant procedural risk, further demonstrates its expanded role in this patient population. A multidisciplinary approach and great diligence must be employed to avoid potential complications.

UpToDate

Deharo JC, Bongiorni MG, Rozkovec A, et al. Pathways for training and accreditation for transvenous lead extraction: a European Heart Rhythm Association position paper. Europace 2012; 14:124. Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a single center's experience.

IJERPH | Free Full-Text | A Study of Major and Minor ...

Transvenous lead extraction (TLE) is considered an integral part of the management strategy for complications related to the presence of cardiac implantable electronic devices (CIED) [1,2,3,4,5].Due to the foreign body reaction and extensive fibrotic scarring around the leads [6,7], TLE can sometimes cause severe damage to the veins and heart as manifested by bleeding into the mediastinum or ...

Safety and efficacy of cardiovascular implantable ...

Aug 04, 2020 · Transvenous lead extraction of cardiovascular implantable electronic device (CIED) has been proven safe in the general patient population with the advances in extraction techniques. Octogenarians present a unique challenge given their comorbidities and the perceived increase in morbidity and mortality.

Key Lessons from the ELECTRa Registry in the Modern Era of ...

Thus, the demand for transvenous lead extraction (TLE) has also substantially increased. To identify the indication to TLE by various operators and centres, techniques used to perform TLE, and the safety and efficacy of the current clinical practice of TLE, a large prospective registry has been started in Europe – the European Lead Extraction ...

Management of cardiac implantable electronic device ...

Oct 23, 2020 · Complete lead extraction required a combined transvenous and surgical approach. Contralateral reimplantation failed due to occlusion of the right brachiocephalic vein. Therefore, a subcutaneous ICD was implanted. This case highlights the importance of an interdisciplinary approach to the treatment of cardiac implantable electronic device infection.

Ulrika Birgersdotter-Green | Profiles RNS

Multidisciplinary approach to transvenous lead extraction: a single center's experience. J Cardiothorac Vasc Anesth. 2015 Apr; 29(2):265-70. Maus TM, Shurter J, Nguyen L, Birgersdotter-Green U, Pretorius V. PMID: 25649700.

Management of Cardiac Electronic Device Infections ...

Kennergren C, Bucknall CA, Butter C, et al. Laser-assisted lead extraction: the European experience. Europace 2007;9(8): 651–6. Crossref | PubMed; Maus TM, Shurter J, Nguyen L, et al. Multidisciplinary approach to transvenous lead extraction: a single center’s experience. J Cardiothorac Vasc Anesth 2015;29(2):265–70. Crossref | PubMed

Cardiac surgeon and electrophysiologist shoulder-to ...

Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience. Maurizio Roberto, Rita Sicuso, Sabrina Manganiello, Valentina Catto, ...

Dr. Ulrika Birgersdotter-Green, MD | Encinitas, CA ...

Multidisciplinary approach to transvenous lead extraction: a single center's experience. Timothy M. Maus, Jesse Shurter, Liem Nguyen, Ulrika Birgersdotter-Green, Victor Pretorius Right ventricular ...

Severe tricuspid valve stenosis secondary to pacemaker ...

Oct 11, 2008 · In children and adolescents, lead sizing is often purposefully imperfect to allow for growth. Prior studies have reported pulmonary valve insufficiency and mild stenosis that may be permanent in children with pacemakers who have lead migration . A multidisciplinary team approach was used to successfully treat this patient.

Developing a Lead Extraction Program for Patients with ...

May 20, 2021 · Indications and recommendations for lead extraction have been established. 1,2 Pediatric and adult congenital heart disease (CHD) centers may have lower case volumes than adult lead extraction centers. However, CHD adds anatomic complexity in a younger population of smaller patient size, where limited transvenous access, prior operations, and ...

Treatment of a malpositioned transcutaneous ventricular ...

Mar 18, 2011 · A multidisciplinary approach utilized an electrophysiologist implanting a new right-sided dual-chamber pacemaker in the operating room. ... We describe an unusual case of surgical lead extraction for transaortic left ventricular pacemaker lead. This report highlights a common anatomic anomaly as a complicating feature during transvenous lead ...

Lead extraction and upgrade to a biventricular device with ...

May 22, 2020 · Lead extraction has emerged as an important procedure for upgrading devices by maintaining venous access and removing redundant leads.1 Although most lead extractions are performed percutaneously, hybrid approaches that involve minimally invasive surgical techniques along with percutaneous extraction have been reported.2–4 In rare circumstances, patients may require

A Case of Arterial and Venous Tear during Single Lead ...

Apr 18, 2016 · Our case demonstrated that when performing a transvenous lead extraction of an active fixation CS lead, a degloving injury can cause arterial rupture and venous rupture. A multidisciplinary team-based approach can ensure patient safety when faced with complications such as a coronary sinus and arterial rupture.

Lead Extraction – Future Treatment for an Old Problem ...

Jun 06, 2017 · Transvenous lead extraction, cardiac implantable devices, hybrid lead extraction Article: The use of electronic devices has increased during the past years; approximately 3.25 million pacemakers (PMs) and 180,000 implantable cardiac defibrillators (ICDs) have been implanted worldwide. 1 The PM implant rates range from 200 implants per million ...

Cardiac surgeon and electrophysiologist shoulder-to ...

Abstract. Background: Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality.

Lead extraction and upgrade to a biventricular device with ...

of a hybrid approach where valve replacement, lead extrac-tion, and lead reimplantation were all performed in the same setting. A major limitation of performing a hybrid procedure for valve replacement and lead extraction with device upgrade is the time and logistics involved. A staged procedure done

Device-Related Endocarditis and Infected Leads Extraction ...

Aug 17, 2012 · Buongiorni et al, in a retrospective analysis of 1330 leads extraction, concluded that transvenous lead extraction is an effective and safe procedure. They showed how the use of the jugular approach, in the presence of free-floating or difficult exposed leads, increases both safety and success rate ( Buongiorni et al. 2005 ).

Timothy Maus's research works | University of California ...

Transvenous lead extraction (TLE) is considered an integral part of the management strategy for complications related to the presence of cardiac implantable electronic devices (CIED) [1][2][3][4 ...

Efficient approach to superior vena cava baffle stenosis ...

May 07, 2020 · Its ability to fully alleviate baffle stenosis even when full lead extraction is not feasible or is associated with significant procedural risk, further demonstrates its expanded role in this patient population. A multidisciplinary approach and great diligence must be employed to

Safety and feasibility of trans‐venous cardiac device ...

Sep 22, 2021 · Transvenous lead extraction (TLE) for implantable cardiac-devices is traditionally performed under general anesthesia (GA). ... TLE consensus guidelines strongly advocate the importance of a collaborative and multidisciplinary approach to address lead extraction management optimizing both safety and efficacy. 9 The logistic approach to TLE ...

Analysis of a 10-year period of lead removal in a referral ...

May 28, 2020 · Overall, multiple single-centre studies and expert guidelines reported that a multidisciplinary approach to lead extraction involving electrophysiologists and cardiac surgeons ensured both safe and successful procedures [1, 2, 12, 13]. Complete hardware removal is recommended, especially in the case of patients with CIED infections.

Case report: Pacemaker lead perforation of a papillary ...

Mar 25, 2015 · Clinical decision-making was guided by a multidisciplinary approach. Options considered were a conservative approach due to the increased risk of postoperative right heart failure, lead removal by percutaneous lead extraction or open

A Case of Arterial and Venous Tear during Single Lead ...

Apr 18, 2016 · Our case demonstrated that when performing a transvenous lead extraction of an active fixation CS lead, a degloving injury can cause arterial rupture and venous rupture. A multidisciplinary team-based approach can ensure patient safety when faced with complications such as a coronary sinus and arterial rupture.