„Uczyć – bawiąc” - czyli przypowiastki z morałem
Lead extraction – OK, but for what ? The goal of TLE should to be understanably ICD-Train 2013
Andrzej Kutarski Lublin (a_kutatski@yahoo.com)
www.usuwanieelektrod.pl
Lead extraction – OK, but for what ? History:
1999 implantation VDD system (Lt side) 2006 lead dysfunction „whole system was replaced” (I do npt belive) 2013 again lead dysfunction 2013 Curious decisions: Attempt to simple traction very old VDD lead Simultaneous DDD implantation (Rt side) Transfer for abandoned VDD lead extraction
Lead extraction – OK, but for what ? ECHO” „bulb” in SCV Fluid in epicard. space
Lead extraction – OK, but for what ?
If was old Biotronik lead, rather from 1999 but not from 2006
www.usuwanieelektrod.pl a_kutarski@yahoo.com
Lead extraction – OK, but for what ?
Conclusions: 1. TLE is to prevent utility of oposite chest side 2. TLE permit to replace non-functional leads and for system up-grading as well 3. TLE after new system implantation ??? = „suboptimal decision” 4. Lead replacement, upgrading should to be performed during unit replacement (ERI) if there are no other urgent indications 5. TLE „after” ??? - out of standards
www.usuwanieelektrod.pl a_kutarski@yahoo.com
Thanks for your attention Masz problem ? wyślij e-mila na:
a_kutarski@yahoo.com www.usuwanieelektrod.pl