The long series of incorrect decisions and finally disaster

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„Uczyć – bawiąc” - czyli przypowiastki z morałem

The long series of incorrect decisions and finally - disaster

Czyli: Ile trzeba podjąć błędnych decyzji i ile procedur złamać, żeby doszło do katastrofy ? Ryn 2011

Andrzej Kutarski Lublin (a_kutatski@yahoo.com)

www.usuwanieelektrod.pl


Dramatic concequences of „partial lead extraction�

???

www.usuwanieelektrod.pl a_kutarski@yahoo.com


Local infection & LDIE in pt. with old PM... „Interesting” previous operations ...


www.usuwanieelektrod.pl a_kutarski@yahoo.com


???

4 years ago both of leads were tryed to been removed with simple traction (after 6 y. !!!)



The battle .... Atrial lead extraction (in 2 parts)


The battle .... Ventricular lead extraction ‌

www.usuwanieelektrod.pl a_kutarski@yahoo.com


The battle ....

www.usuwanieelektrod.pl a_kutarski@yahoo.com


After the battle ....

www.usuwanieelektrod.pl a_kutarski@yahoo.com



Extraction

Unnecessary premature implantation

After 9 days ONLY !!!


CT AFTER the new system implantation ....


Unnecessary premature implantation All leads extraction


Sepsis, renal failure ...

ď Œ


Conclusions: Why the patient died ??? What was it main reason ? LRIE is still danegerous disease !!! Disaster have several reasons usually !!! www.usuwanieelektrod.pl a_kutarski@yahoo.com


Dziękuję za uwagę Masz problem ? wyślij e-mila na:

a_kutarski@yahoo.com www.usuwanieelektrod.pl


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