真空辅助赘生物切除术用于大型心脏赘生物的处理
Vacuum assisted vegetation extraction for the management of large lead vegetations.
作者信息
Patel Nishant, Azemi Talhat, Zaeem Faisal, Underhill David, Gallagher Robert, Hagberg Robert, Sadiq Immad
机构信息
Henry Low Heart Center, Hartford Hospital, Hartford, Connecticut 06102, USA.
出版信息
J Card Surg. 2013 May;28(3):321-4. doi: 10.1111/jocs.12087. Epub 2013 Feb 28.
BACKGROUND
Complete device and lead removal is recommended for management of infected implantable cardiac device. Management of large lead vegetation (2 cm) is still in debate.
METHODS
We report a series of patients involving percutaneous extraction of large vegetations (>2 cm) from ICD/pacing leads using the AngioVac Cannula in patients with infective endocarditis. This approach was used to debulk the ICD/pacing lead vegetations in order to minimize the risk of septic pulmonary embolism during lead explantation.
CONCLUSION
AngioVac Cannula can be used safely and effectively as an adjunctive method for patients with large lead vegetation.
背景
对于感染性植入式心脏设备的管理，建议完全移除设备和导线。大型导线赘生物（2厘米）的管理仍存在争议。
方法
我们报告了一系列患者，这些患者因感染性心内膜炎，使用AngioVac导管经皮从植入式心律转复除颤器（ICD）/起搏导线上移除大型赘生物（>2厘米）。此方法用于减少ICD/起搏导线赘生物的体积，以降低导线拔除过程中发生感染性肺栓塞的风险。
结论
对于有大型导线赘生物的患者，AngioVac导管可作为一种辅助方法安全有效地使用。
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