Compliant endovascular balloon reduces the lethality of superior vena cava tears during transvenous lead extractions

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Ryan AzarrafiyRoger G Carrillo

Abstract

Superior vena cava (SVC) lacerations have been identified as the most lethal complication encountered during cardiac implantable electronic device lead extraction. The case fatality rate of these events approximates 50% due to rapid exsanguination. A novel, compliant balloon specifically designed for use in the SVC may provide hemostasis in the event of endovascular perforation. By temporarily occluding the compromised vessel, the endovascular balloon should delay hemodynamic collapse, provide a more controlled surgical field for repair, and thereby reduce the mortality of SVC tears complicating transvenous lead extraction. To assess the early impact of the compliant endovascular balloon on the management of SVC tears and survival outcomes. We searched a publicly available, United States Food and Drug Administration-maintained database for adverse events from 1 manufacturer of lead extraction tools. Reports from July 1, 2016, to December 31, 2016 were reviewed by 2 physicians to identify instances of SVC tears. Extracting physicians were contacted for further case details. Confirmed SVC tears were analyzed for patient demographics, repair strategies, and index hospitalization mortality. Of the complications reported, 35 cases o...Continue Reading

References

Dec 19, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Thomas A BoyleRoger Carrillo

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Citations

Oct 11, 2017·Anesthesia and Analgesia·Lilibeth FerminRoger Carrillo
Jun 3, 2018·Journal of Cardiovascular Electrophysiology·Mingyan DaiYong-Mei Cha
Dec 28, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Giulio ZucchelliUNKNOWN ELECTRa Investigators
May 19, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Kerstin BodeMichael Doering
Mar 19, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Andreas GoetteUNKNOWN ESC Scientific Document Group
Oct 19, 2019·Journal of Cardiovascular Electrophysiology·Robert K LewisJonathan P Piccini
Nov 13, 2018·Arrhythmia & Electrophysiology Review·Adryan A PerezRoger G Carrillo
Mar 23, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maria G BongiorniUNKNOWN ESC Scientific Document Group
May 25, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Christoph T StarckMark M Gallagher
Jul 19, 2018·Deutsches Ärzteblatt International·Michael DöringGerhard Hindricks
Apr 25, 2020·JACC. Clinical Electrophysiology·Mohit K TuragamVivek Y Reddy
Apr 7, 2021·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Naga Venkata K PothineniRobert D Schaller
Apr 23, 2021·Seminars in Interventional Radiology·Kai A JonesStephen P Reis
Feb 13, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Da-Un ChungSamer Hakmi

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