The Bridge Occlusion Balloon as a safety net in a high-risk transvenous lead extraction procedure
Standard
The Bridge Occlusion Balloon as a safety net in a high-risk transvenous lead extraction procedure. / Pecha, Simon; Vogler, Julia; Reichenspurner, Hermann; Hakmi, Samer.
in: INTERACT CARDIOV TH, Jahrgang 26, Nr. 2, 01.02.2018, S. 360-361.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - The Bridge Occlusion Balloon as a safety net in a high-risk transvenous lead extraction procedure
AU - Pecha, Simon
AU - Vogler, Julia
AU - Reichenspurner, Hermann
AU - Hakmi, Samer
N1 - © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Injuries to the superior vena cava (SVC) during transvenous lead extraction (TLE) procedures are a rare but life-threatening complication. The Bridge Occlusion Balloon (BOB) is specifically designed for temporary SVC occlusion in TLE procedures. We report the first case of a 27-year-old man using the BOB as a safety net in a high-risk TLE procedure. This patient, with a congenitally corrected transposition of the great arteries and a third-degree atrioventricular block, presented with 4 dysfunctional pacemaker leads, venous stenosis and the necessity for a new pacemaker system. The leads were implanted for 10 and 19 years. The BOB was placed with a radiopaque marker at the cavoatrial junction and was inflated with 46 ml of an 80/20 saline/contrast agent mixture. An angiography was performed to confirm SVC occlusion. With the deflated balloon in place, the TLE procedure with laser and mechanical sheaths was performed. Successful extraction of 2 dysfunctional leads, as well as venous recanalization, for the new right atrial and right ventricular lead implantation was achieved. We have shown the feasibility of using powered extraction sheaths with a deflated BOB in place. This allows for immediate balloon inflation, in case of an SVC perforation.
AB - Injuries to the superior vena cava (SVC) during transvenous lead extraction (TLE) procedures are a rare but life-threatening complication. The Bridge Occlusion Balloon (BOB) is specifically designed for temporary SVC occlusion in TLE procedures. We report the first case of a 27-year-old man using the BOB as a safety net in a high-risk TLE procedure. This patient, with a congenitally corrected transposition of the great arteries and a third-degree atrioventricular block, presented with 4 dysfunctional pacemaker leads, venous stenosis and the necessity for a new pacemaker system. The leads were implanted for 10 and 19 years. The BOB was placed with a radiopaque marker at the cavoatrial junction and was inflated with 46 ml of an 80/20 saline/contrast agent mixture. An angiography was performed to confirm SVC occlusion. With the deflated balloon in place, the TLE procedure with laser and mechanical sheaths was performed. Successful extraction of 2 dysfunctional leads, as well as venous recanalization, for the new right atrial and right ventricular lead implantation was achieved. We have shown the feasibility of using powered extraction sheaths with a deflated BOB in place. This allows for immediate balloon inflation, in case of an SVC perforation.
KW - Adult
KW - Atrioventricular Block/etiology
KW - Balloon Occlusion/methods
KW - Cardiac Surgical Procedures
KW - Device Removal/methods
KW - Humans
KW - Male
KW - Pacemaker, Artificial/adverse effects
KW - Radiography, Thoracic
KW - Transposition of Great Vessels/complications
KW - Vena Cava, Superior
U2 - 10.1093/icvts/ivx296
DO - 10.1093/icvts/ivx296
M3 - SCORING: Journal article
C2 - 29049802
VL - 26
SP - 360
EP - 361
JO - INTERACT CARDIOV TH
JF - INTERACT CARDIOV TH
SN - 1569-9293
IS - 2
ER -