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Percutaneous lead extraction for patients with large vegetations using an unusual technique  Nobuhiro Nishii, MD, PhD, Akihito Miyoshi, MD, PhD, Yoshimasa.

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Presentation on theme: "Percutaneous lead extraction for patients with large vegetations using an unusual technique  Nobuhiro Nishii, MD, PhD, Akihito Miyoshi, MD, PhD, Yoshimasa."— Presentation transcript:

1 Percutaneous lead extraction for patients with large vegetations using an unusual technique 
Nobuhiro Nishii, MD, PhD, Akihito Miyoshi, MD, PhD, Yoshimasa Morimoto, MD, Hiroshi Morita, MD, PhD, Shingo Kasahara, MD, PhD, Hiroshi Ito, MD, PhD  HeartRhythm Case Reports  Volume 5, Issue 1, Pages (January 2019) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 Large vegetation in case 1. A: The large vegetation, measuring greater than 4 cm, as observed by intracardiac echocardiography. B: The vegetation, measuring greater than 4 cm, as observed by transesophageal echocardiography. C: Two implantable cardioverter-defibrillator leads with small amounts of thrombus and vegetation. D: Residual small amount of vegetation measuring less than 5 mm as observed by transesophageal echocardiography 1 week after lead extraction. E: Enhanced computed tomography showed no pulmonary embolism 1 week after lead extraction. HeartRhythm Case Reports 2019 5, 40-43DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

3 Figure 2 Large vegetation in case 2. A: The large vegetation, measuring 2.7 cm, was adherent to the right ventricle (RV) lead. B: The tip of the RV lead was detached from the RV and captured by a snare from the femoral vein. C: The RV lead was extracted smoothly though the inferior vena cava, but was trapped at the femoral vein. HeartRhythm Case Reports 2019 5, 40-43DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

4 Figure 3 Large vegetation removed by Fogarty catheter. A: Only the large vegetation was trapped at the right femoral vein. B, C: The vegetation was extracted by Fogarty catheter (cath). HeartRhythm Case Reports 2019 5, 40-43DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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