Transvenous Lead Extraction (eBook, PDF)

From Simple Traction to Internal Transjugular Approach
Redaktion: Bongiorni, Maria Grazia

• Format: PDF

Produktbeschreibung

In recent years, indications for defibrillators and cardiac resynchronization therapy have expanded enormously. The implanted leads necessary for these devices to function, however, have a limited life span, and their extraction will be an increasing issue in clinical practice for treating short- and long-term complications, such as infections and lead failures. Aim of this book is to provide state-of-the-art techniques for lead extraction and to cover subjects such as lead characteristics, indications for lead removal, patient preparation, extraction tools and techniques, complication prevention and management. A series of tips and tricks for approaching particular conditions (tight costoclavicular space, fractured leads, implantable cardioverter-defibrillator leads, endangered leads) is presented. A new extraction technique through the internal jugular vein is described: several examples are given, and high-quality images help thoroughly depict this innovative procedure. An excellent resource for all individuals involved in managing cardiac patients: cardiologists, arrhythmologists, surgeons, general practitioners, pediatricians, and postgraduate students in those disciplines.

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Produktdetails

• Verlag: Springer Milan
• Seitenzahl: 158
• Erscheinungstermin: 6. September 2011
• Englisch
• ISBN-13: 9788847014664
• Artikelnr.: 37413656

Inhaltsangabe

From the contents:
Part 1: Importance to know the lead: Pacing Leads. ICD Leads. LV Leads.- Part 2: Indications to Lead Removal: Infective. Not infective.- Part 3: Planning of the Procedures: Pre-interventional Patient Evaluation. Informed Consent. Patient Preparation. Anaesthesia.- Part 4: Tools for Extraction: Single Traction. Locking Stylets. Mechanical Dilators. Powered Sheaths. Transfemoral Tools. Others.- Part 5: Techniques: Venous Entry Approach. Transfemoral Approach. Internal Transjugular Approach.- Part 6: The utility of Intracardiac and Intravascular Echography: Before the procedure. During the procedure. After the procedure.- Part 7: Prevention and Treatment of Complications. Major Complications. Minor Complications.- Part 8: Implantation of a New Lead: In Presence of Infections. In Absence of Infections.- Part 9: Problem solving: Description of 10 complex situations