Key result
Transvenous laser lead extraction was complicated by sudden circulatory collapse from suspected superior vena cava injury, successfully managed with a bridge balloon and emergency sternotomy.
Case Report (n=1)
Prophylactic insertion of a bridge balloon can be a life-saving strategy to temporarily control hemorrhage from SVC injury during transvenous laser lead extraction.
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May support prophylactic bridge balloon use for SVC injury in lead extraction; hypothesis-generating and should not yet change practice.
A 55-year-old male status postinsertion of a dual-chamber implantable cardioverter-defibrillator for ischemic cardiomyopathy 11 years earlier presented with right ventricular lead malfunction. While undergoing a transvenous laser lead extraction procedure, the patient developed sudden circulatory collapse from suspected injury to the superior vena cava (SVC). A prophylactically inserted bridge balloon stationed in the inferior vena cava was rapidly deployed in the SVC, temporarily controlling hemorrhage until emergency sternotomy and repair of the laceration with cardiopulmonary bypass support.
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Nwiloh et al. (2020) conducted a case report in Right ventricular lead malfunction (n=1). Transvenous laser lead extraction was evaluated. Transvenous laser lead extraction was complicated by sudden circulatory collapse from suspected superior vena cava injury, successfully managed with a bridge balloon and emergency sternotomy.
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