„Uczyć – bawiąc” - czyli przypowiastki z morałem
One lead to much Even one abandoned lead can create several problems
ICD-Train 2013
Andrzej Kutarski Lublin (a_kutatski@yahoo.com)
www.usuwanieelektrod.pl
One lead to much 2008 implantation VVI system for brady-AF 2011 PM (only PM) removal due to Ca mamme and planned mastectomy & radiotherapy 2011 the new VVI system implanted simultaneously Rt side od the chest 2013 severe trisuspid regurgitation and proper referrence for TLE
One lead to much Clinical problem: lead related severe tricuspid valve dysfunction (III/IV degree tricuspid regurgitation)
One lead to much
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Clinical problem was solved: abandoned lead was removed and tricuspid regurgitation decreased up to II/III
www.usuwanieelektrod.pl a_kutarski@yahoo.com
One lead to much
www.usuwanieelektrod.pl a_kutarski@yahoo.com
One lead to much
Conclusions: 1. Before mastectmy much better is to remove whole system than to abandon the lead 2. Two ventricular leads: may by one to much 3. Dynamic contact between two leads may to cause silicone tube abrsion – future „anchor” of lead dependent endocatditis
Thanks for your attention Masz problem ? wyślij e-mila na:
a_kutarski@yahoo.com www.usuwanieelektrod.pl